电阻加温垫与充气加温毯预防胸腔镜手术患者低体温效果比较
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女,硕士,主管护师

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重庆医科大学附属第一医院护理科研基金资助项目(HLJJ2016-14)


Comparison of resistive heating and forcedair warming to prevent hypothermia during videoassisted thoracic surgery
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    摘要:

    目的 探讨两种加温方式预防胸腔镜手术患者术中低体温的效果。方法 将70例胸腔镜手术患者随机分为两组,电阻组(34 例)术中采用电阻式碳纤维加温垫加温,充气组(36例)采用充气式加温毯覆盖加温。结果 两组各测量时间点患者平均体温均> 36℃,在麻醉插管、手术开始时、手术开始30min时电阻组患者体温高于充气组(均P0.05)。结论 两种加温方式均能有效预防胸腔镜手术患者术中低体温,其中电阻式碳纤维加温垫 维持患者体温更平稳。

    Abstract:

    Objective To compare the effect of two warming methods on prevention of hypothermia during videoassisted thoracic surgery. MethodsA total of 70 patients undergoing videoassisted thoracic surgery were recruited and randomly allocated to receive either forcedair warming (n=36) or resistive heating (n=34). ResultsThe mean patient core temperatures were higher than 36℃ during the surgery in both groups. Core temperatures were significantly higher in the resistive heating group compared with the forcedair warming group after intubation, at the start of surgery and at 30 min during the surgery (P<0.01 for all), but there were no significant differences between the two groups at 60 min during the surgery until the end of surgery (P>0.05 for all). ConclusionBoth resistive heating and forcedair warming are effective in preventing intraoperative hypothermia during videoassisted thoracic surgery, and the carbonpolymer resistive heating mattresses offer more stable temperatures.

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钟昌艳,易凤琼,胡军,曾彦超,于小红.电阻加温垫与充气加温毯预防胸腔镜手术患者低体温效果比较[J].护理学杂志,2019,34(4):39-41

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  • 收稿日期:2018-08-04
  • 最后修改日期:2018-10-28
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  • 在线发布日期: 2022-08-08