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李燕萍,庄敏.CO2加温保护对妇科腹腔镜手术患者核心体温及术后恢复的影响[J].上海护理,2018,18(12):
CO2加温保护对妇科腹腔镜手术患者核心体温及术后恢复的影响
DOI：
中文关键词:  腹腔镜，加温保护，体温
英文关键词:Laparoscopic, Heating  protection, Temperature
基金项目:
作者单位E-mail
李燕萍 上海市第六人民医院 liyanping@126.com 
庄敏* 上海市第六人民医院 min2074@126.com 
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中文摘要:
      目的 探讨气腹加温保护对妇科腹腔镜手术患者核心体温及术后恢复的影响。方法 预实验组入组50例妇科腹腔镜手术患者,预实验组采用常规保温措施即常规铺无菌巾；另将100例妇科腹腔镜手术患者随机分为两组：毛毯保温组、气腹加温组各50人。毛毯加温组双下肢增加覆盖毛毯,气腹加温组气腹所用气体加温至37℃,余同对照组。记录两组患者术前、术中每20分钟、术毕时的体温,手术的出血量和手术时间,比较两组患者手术前后的体温及恢复情况。结果 与空白对照组患者比较,气腹加温组手术开始40min后和术毕时体温下降少,术中出血量少,复苏期寒战发生率低,差异均有统计学意义(P<0.05)。结论 气腹加温保护能够有效地减少妇科腹腔镜手术患者围术期低体温的出现,减少出血量,减少复苏期寒战发生,值得临床推广应用。
英文摘要:
      Objectives: To evaluate the effect of core temperature and postoperative recovery in patients with gynecologic laparoscopic surgery by CO2 heating protection. Methods: 50 patients with gynecologic laparoscopic surgery were enrolled for preliminary experiment by conventional insulation measures. Other 100 patients were divided randomly into two groups, which were heating protection by blanket or pneumoperitoneum. Those with heating protection by blanket were covered by woolen blanket while those by pneumoperitoneum were using pneumatic heating to 37℃ during surgery. The patients’ temperature at pre-surgery, every 20 minutes during surgery and after surgery were recorded, as well as the bleeding status and surgical time. The body temperature and recovery of the two groups were compared before and after operation. Results: Compared with control group, patients with heating protection by pneumoperitoneum showed less drop in temperature at 40 min after surgery and after surgery, with less bleeding, the incidence of chills during the recovery period is lower too, The difference was statistically significant (P <0.05). Conclusion: Heating protection by pneumoperitoneum can effectively reduce perioperative hypothermia, bleeding and chills in patients with gynecological laparoscopic surgery, which is worthy of clinical application.
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