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前馈控制结合术中适时调温方案在老年全麻腹部手术中的应用价值 被引量:2

Application value of feedforward control combined with intraoperative timely temperature adjustment scheme in elderly general anesthesia abdominal surgery
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摘要 目的探讨前馈控制结合术中适时调温方案在老年全麻腹部手术中的应用价值。方法选取2018年5月至2020年5月收治的择期行全麻腹部手术的老年患者62例进行观察,将其随机分为对照组和观察组,各31例。对照组实施常规手术室护理,观察组在此基础上采用前馈控制结合术中适时调温方案干预。比较两组护理效果。结果观察组术中低体温总发生率为22.58%,显著低于对照组的61.29%(P<0.05)。术后,观察组E、NE水平均低于对照组(P<0.05)。术后,观察组PT、APTT明显短于对照组,FIB水平高于对照组(P<0.05)。观察组术后寒战、躁动发生率均低于对照组(P<0.05)。结论在老年患者全麻腹部手术中应用前馈控制结合术中适时调温方案有助于降低低体温发生率,减轻手术应激反应,维持机体凝血功能稳定,减少术后并发症的发生。 Objective To explore the application value of feedforward control combined with intraoperative timely temperature adjustment scheme in elderly general anesthesia abdominal surgery.Methods Sixty-two elderly patients underwent general anesthesia for abdominal surgery from May 2018 to May 2020 were selected for observation and randomly divided into control group and observation group,with 31 cases in each group.The control group was given routine operation room nursing,and the observation group was given feedforward control combined with intraoperative timely temperature adjustment scheme on this basis.The nursing effects of the two groups were compared.Results The total incidence of hypothermia during operation in the observation group was 22.58%,which was significantly lower than 61.29%in the control group(P<0.05).After operation,the levels of E and NE in the observation group were lower than the control group(P<0.05).After operation,PT and APTT in the observation group were significantly shorter than those in the control group,FIB level was higher than that in the control group(P<0.05).The incidences of shivering and restlessness in the observation group were lower than those in the control group(P<0.05).Conclusion Application of feedforward control combined with intraoperative timely temperature adjustment scheme in elderly patients undergoing general anesthesia abdominal surgery is helpful to reduce the incidence of hypothermia,alleviate the surgical stress response,maintain the stability of body coagulation function,and reduce the occurrence of postoperative complications.
作者 康娟娟 王旭芳 KANG Juanjuan;WANG Xufang(Anesthesiology Surgery Department,Affiliated Baoji Hospital of Xi'an Medical University,Baoji 721006,China;General Thoracic Surgery Department,Affiliated Baoji Hospital of Xi'an Medical University,Baoji 721006,China)
出处 《临床医学研究与实践》 2021年第10期172-174,共3页 Clinical Research and Practice
关键词 前馈控制 术中适时调温方案 腹部手术 低体温 feedforward control intraoperative timely temperature adjustment scheme abdominal surgery hypothermia
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