| 肖建明,方珊珊,陈春梅,倪佩佩.充气式加温毯的不同使用方式在婴幼儿颅面重建术中保温效果的比较[J].上海护理,2018,18(1): |
| 充气式加温毯的不同使用方式在婴幼儿颅面重建术中保温效果的比较 |
| The Comparison of the heat preservation effect between different methods of inflatable heating blanket in craniofacial reconstruction surgery in infant. |
| DOI： |
| 中文关键词: 充气式加温毯 婴幼儿 术中保温 颅面重建术 |
| 英文关键词:Inflatable heating blanket Infant Intraoperative warming Craniofacial reconstruction surgery |
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| 中文摘要: |
| 【】 目的 探讨充气式加温毯不同使用方式应用于婴幼儿颅面重建术的保温效果。 方法 选择择期全身麻醉下行颅面重建术患儿50例,随机分为两组,铺垫式组(A组)和覆盖式组(B组),每组25例。记录围手术期患儿的肛温(T)、MAP、HR,术中的出血量,手术结束时PT、 APTT、TT,术后的自主呼吸恢复时间、拔管时间、完全清醒时间、苏醒期的不良反应。 结果 与T0时比较：A组患儿在T2和T3时的MAP、HR和T均明显降低(P<0．05)；与A组相比,B组患儿在T2和T3时的MAP、HR和T均明显升高(P<0．05)；与A组相比,B组患儿的术中出血量明显减少(P<0．05)；B组患儿的PT、APTT、TT均明显低于A组(P<0．05)；与A组相比,B组患儿手术结束后到呼吸恢复时间、手术结束后到拔管时间、手术结束后到送回病房的时间均明显减少 (P<0．05)；与A组相比,B组患儿术后寒颤和苏醒延迟发生率明显降低(P<0．05)。 结论 覆盖式使用充气式加温毯更能有效地预防婴幼儿颅面重建术中低体温的发生。 |
| 英文摘要: |
| Subject: To compare the heat preservationSeffectSof inflatable heating blanket in different methods applied to craniofacial reconstruction surgery in infant. Methods: Fifty pediatric patients undergoing selective Craniofacial reconstruction surgery in generalSanesthesia were randomly divided into two groups: bedding group (group A) and covering group (group B). In this study, the rectal temperature (T), meanSarterialSpressure (MAP) and heart rate (HR) were continuously monitored. Moreover, bleeding volume, theStimeSof spontaneousSbreathingSrecover, eye open,SextubationSand outSofSPACUSwere collected. Blood coagulation function index including prothrombin time(PT),activated partial thromboplastin time(APTT)and thrombin time(TT), and adverse reactions during anesthesia recovery period were also recorded. Results: Compared with T0, the MAP ,HR, and T in group A at T2 and T3 both decreased significantly (P<0．05). At both T2 and T3, the MAP ,HR, and T in group B increased compared with group A. The bleeding volume in group B obviously more than that in group A and the time of spontaneousSbreathingSrecover, eye open,Sextubation timeSand outSofSPACU time all decreased in group B. Compared with group A, the incidence of postoperative shivering and delirium in group B was significantly lower. Conclusions: The inflatable heating blanket using in covering method can effectively prevent hypothermia in intra-operation in pediatric patients. |
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