保温护理对全身麻醉患者术中应激及术后苏醒影响的临床研究

目的：分析保温护理对全身麻醉患者术中应激及术后复苏的影响，探讨保温护理干预的临床意义。方法：选择符合标准的患者80例，随机分为观察组和对照组各40例，观察组采用保温护理，对照组采用常规保温措施，比较低体温发生率及术中应激、麻醉复苏等情况。结果：两组患者术中输液量、出血量及手术时间比较，差异无显著性（ P＞0．05）。观察组患者术中低体温发生率2．50％，低于对照组的20．00％，差异有统计学意义（ P＜0．05）。观察组患者气管拔管时间、完全清醒时间、麻醉恢复室（PACU）滞留时间、寒战及躁动等方面，均优于对照组，差异有统计学意义（P＜0．05）。两组患者手术结束时血中肾上腺激素（ AD）、去甲肾上腺激素（ NE）和C反应蛋白（ CRP ）水平较术前均升高，差异有统计学意义（P＜0．05），但是观察组患者升高幅度较对照组小，差异有显著性（P＜0．05）。结论：保温护理可以降低全身麻醉患者术中低体温发生率，减轻手术应激反应程度，缩短麻醉恢复期，促进患者麻醉复苏，值得临床推广应用。

Clinical Study on the Effects of Temperature Holding Nursing Care on the Intra-operative Stress and Postoperative Anesthesia Recovery in Patients Under General Anesthesia

Objective：To analyze the effects of temperature holding nursing care on the intra-operative stress and anesthesia recovery in patients under general anesthesia and to investigate the clinical significances of temperature holding nursing care intervention .Method：80 eligible patients were selected and randomly divided into observation group and control group , 40 patients each group;the observation group used temperature holding nursing care , while the control group used routine temperature holding measures , the hypothermia incidences , intra-operative stress conditions and anesthesia recovery conditions were compared .Result：The differences in intra-operative infusion volume , blood loss volume and operative time between the patients of the two groups were statistically insignificant （ P〉0.05） .The intra-operative hypothermia incidence in the patients of the observation group was 2.50%, was lower than that of the control group （ 20.00%） , and the difference was statistically significant （ P〈0.05 ） .The time to tracheal extubation , time to complete consciousness, residence time in the post-anesthesia care unit （PACU）, conditions of chills and restlessnessand so on in the patients of the observation group were all better than those in the patients of the control group, and the differences were statistically significant （ P〈0.05） .At the ends of surgeries , the blood adrenal hormone （AD）, noradrenalin （NE） and C-reactive protein （CRP） levels in the patients of both groups were increased when compared with those before the surgeries , and the differences were statistically significant （ P〈0.05） , but the increase extents in the patients of the observation group were smaller than those of the control group, and the differences were statistically significant （ P〈0.05）.Conclusion： Temperature holding nursing care can decrease the intra-operative hypothermia incidence , lessen the degree of stress re-action to surgery , shorten the anesthesia recovery period , promote anesthesia recovery in patients under gen-eral anesthesia , and consequently is worthy of clinical application .