[高血压医学论文]
作者;曾独娟,李爱民,冯国辉,雷志礼
[摘要] 目的 观察全身麻醉与硬膜外麻醉中体温的变化 规律 及低体温对麻醉中患者的 影响 ,为加强术后体温护理提供依据。 方法 选择全麻开腹手术患者50例,ASAⅠ~Ⅱ级。按照随机表法随机分为两组,全麻组25例,硬膜外组25例,两组生命体征均维持稳定,室内温度维持在22 ℃~25 ℃,常规铺单外不做保温处理。观察两组术前、术中及术毕体温变化;术毕时寒颤及躁动的发生率。结果 与术前比较,术中和术毕两组体温明显降低;组间比较差异有显著性;术毕完全清醒时全麻组比硬膜外组寒颤、躁动发生率高。结论 麻醉后食管温度会明显下降,但全麻时下降更明显。体温降低对寒颤、躁动的发生率有影响;麻醉手术中应监测体温,注意体温的保护,以降低上述反应的发生率。 [关键词] 低温;麻醉;手术 Effects of anesthesia on body temperature of patients [Abstract] Objective To observe the effects of anesthesia (general anesthesia and epidural block) on temperature of patients and to provide the basis for strengthening care in temperature of patient.Methods ASAⅠ~Ⅱ fifty patients undergoing abdominal surgery were divided into two groups (general anesthesia Ⅱ,n=25 and epidural group Ⅰ,n=25).Group Ⅰ and group Ⅱ temperature were used to assess core temperature monitored simultaneously. The temperatures were recorded during induction (T1),10(T2),30(T3),60(T4),90(T5),120(T6),150(T7)……
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