| 王德勇 张兰 乔宁 涂英兵 袁娟.麻醉诱导期预保温措施对胆道闭锁患儿术中体温的影响[J].,2016,16(23):4495-4497 |
| 麻醉诱导期预保温措施对胆道闭锁患儿术中体温的影响 |
| Influence of Prewarming during Anesthesia Induction Period onIntraoperative Body Temperature of Fants with Biliary Atresia |
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| DOI： |
| 中文关键词: 胆道闭锁 麻醉诱导期 预保温 体温 充气保温毯 |
| 英文关键词: Biliary atresia Anesthesia induction Prewarming Body temperature Inflatable blanket |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨麻醉诱导期预保温措施对胆道闭锁患儿手术中体温的影响。方法：将我院2012年4 月~2014 年8 月收治入院需
要行肝门空肠吻合重建肝外胆道术的100 例胆道闭锁患儿，按电脑随机法分为对照组和治疗组，每组各50 例，对照组患儿麻醉
诱导期采用普通盖被覆盖保温0.5 h，试验组患儿麻醉诱导期采用充气保温毯进行预保温0.5h，手术中观察并记录两组患儿的基
本情况和术中体温变化。结果：两组患儿入室体温、入室室温、麻醉时室温、手术时间、出血量及输液总量比较差异均无统计学意
义（P>0.05）。治疗组术中发生低体温的概率为36.2%，明显低于对照组的63.8%。对照组术中患儿体温变化较大，体温下降较明显
（P<0.05），而治疗组体温变化相对稳定（P>0.05）。结论：麻醉诱导期应用充气保温毯预保温有利于胆道闭锁患儿行肝门空肠吻合
术时保持相对稳定体温，是预防胆道闭锁患儿术中发生低体温的有效方法。 |
| 英文摘要: |
| Objective:To investigate the influence of prewarming during anesthesia induction period on intraoperative body temperature
of fants with biliary atresia.Methods:Selected 100 fants with biliary atresia who were underwent portojejunal anastomosis and
extrahepatic biliary tract reconstruction operation in our hospital from April 2012 to August 2014, they were randomly divided into control
group and treatment group by computer, with 50 fants in each group, the control group was prewarmed by ordinary quilt during anesthesia
induction period 0.5 h, while the experimental group was prewarmed by inflatable blanket during anesthesia induction period 0.5 h,
then observed the basic situation and intraoperative body temperature changes in two groups.Results:The body temperature entering
room, entering room temperature, anesthesia room temperature, operation time, bleeding volume and transfusion amount had no significant
difference in two groups(P>0.05). The incidence of intraoperative hypothermia in treatment group was 36.2%, which was significantly
lower than 63.8%in control group (P<0.05). The intraoperative body temperature of control group changed sharply during the operation,
which were significantly cut down(P<0.05), but the intraoperative body temperature in treatment group was stable(P>0.05).Conclusion:Using inflatable blanket for prewarming during anesthesia induction period is benefit to keeping the intraoperative body temperature stable,
when the fants with biliary atresia are underwent portojejunal anastomosis and extrahepatic biliary tract reconstruction operation,
which is a effective method to prevent this kind of fants fromhypothermia. |
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