手术室温度动态控制对吸脂整形患者全身麻醉术中状态的影响

Effects of dynamic control of temperature in operating room on operative status in general anesthesia patients undergoing liposuction surgery

  • 摘要: 目的 探讨手术室温度动态控制对全身麻醉吸脂整形患者术中核心体温、应激反应及麻醉效果的影响。 方法 按照随机数字表法将60例全身麻醉吸脂整形患者分为2组,每组30例。对照组给予手术室常规保温措施,研究组给予手术室动态温度控制。观察2组患者核心体温、生命体征、应激反应以及麻醉效果。 结果 研究组术中2 h(T2)、麻醉复苏后(T3)时点核心体温显著高于对照组(P<0.05)。研究组T2、T3时点呼吸频率、脉率均显著低于对照组(P<0.05)。干预后, 2组患者肾上腺激素(E)、去甲肾上腺激素(NE)、皮质醇(COR)均显著升高(P<0.05), 但研究组显著低于对照组(P<0.05)。研究组患者睁眼时间、插管持续时间、定向力恢复时间、完全清醒时间、麻醉后监测治疗室(PACU)滞留时间均显著短于对照组(P<0.05)。 结论 手术室温度控制可有效维持全身麻醉吸脂整形患者的核心体温,稳定生命体征,减轻应激损伤,促进患者复苏。

     

    Abstract: Objective To study the effects of dynamic control of temperature in operating room on the core body temperature, stress response and anesthetic effect in patients undergoing liposuction surgery under general anesthesia. Methods According to random number table method, a total of 60 general anesthesia patients with liposuction surgery were divided into two groups, with 30 cases per group. The control group was given conventional temperature conserving measures, while the study group dynamic control of temperature in operating room. Patients'core body temperature, vital signs, stress reaction and anesthetic effects of two groups were observed. Results The core body temperatures of the study group were significantly higher than that of the control group at 2 h during operation(T2)and awakening time after anaesthesia(T3)(P<0.05). The respiratory rate and pulse rate of the study group at T2 and T3 were significantly lower than those of the control group(P<0.05). After intervention, the levels of adrenalin(E), norepinephrine(NE)and cortisol(COR)were significantly increased in the two groups(P<0.05), but the study group was still significantly lower than the control group(P<0.05). The eyes opening time, intubation duration, recovery time of directional force, full waking time and postanesthenia care unit(PACU)retention time in the study group were significantly shorter than those in the control group(P<0.05). Conclusion Temperature control in operating room can effectively maintain the patient's core body temperature of general anesthesia patients with liposuction surgery, stabilize vital signs, reduce stress induced injury, and promote the recovery of patients.

     

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