温度干预护理对老年患者全麻苏醒期的影响

    Effect of temperature intervention nursing to senile patients during the recovery period after general anesthesia

    • 摘要: 目的:探讨保温护理措施对老年患者全麻苏醒期的影响。方法:老年全麻手术患者80例,随机分成对照组和观察组,每组40例。对照组常规护理,观察组加用保温毯、输入加温液体、DAR人工鼻气道加温湿化等综合性温度干预护理。分别监测患者麻醉前的体温,入麻醉后复苏室(post-anesthesia care unit,PACU)体温,在PACU的复温时间和停留时间及苏醒延迟、血压异常、寒战、躁动等并发症发生的情况。结果:两组术前和入PACU的体温均无统计学意义(P>0.05)。复温时间、停留时间和并发症差异均有统计学意义(P<0.01)。结论:加强对老年患者全麻苏醒期的温度干预护理,可缩短患者在PACU停留时间,减少低体温引起的各种并发症。

       

      Abstract: Objective:To investigate the incubation nursing to senile patients during the recovery period after general anesthesia.Methods:Eighty senile patients were randomly divided into control-group and survey-group,40 cases of each group.Patients in control-group were routinely cared,meanwhile,temperature intervention nursing were practiced to patients in survey-group by applying incubation tapetum,inputting warming liquid,humidificating DAR air-duct warmly etc.The prenarcotic temperature,initial temperature into post-anesthesia care unit (PACU),rewarming and detention time in PACU were monitored and the complications such as revival time delayed,dysarteriotony,shakes,restlessness were also monitored.Results:There were no statistical significance of prenarcotic temperature and initial temperature into PACU of two groups (P>0.05).However,there were remarkably statistical significance of the difference of rewarming time,detention time and kinds of complications (P<0.01).Conclusions:Intensifying temperature intervention nursing on senile patients during anesthesia recovery period can shorten detention time in PACU and reduce the correlated complications from hypothermia.

       

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