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保温对全麻唤醒手术患者寒战躁动及术中苏醒的影响

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目的 探讨保温对全麻唤醒手术患者寒战躁动及术中苏醒的影响。方法 抽取来我院行术中唤醒全麻手术116例患者，随机分组，各58例。对照组给予常规体温处理，观察组在此基础上给予加用保温毯升温等，比较两组寒战、躁动发生情况与术中苏醒时间。结果 观察组保温后寒战等级与术中苏醒时间均低于对照组，差异有统计学意义（P＜0.05）；观察组躁动发生率为0.0%（0/58），对照组为15.5%（9/58），对比差异有统计学意义（P＜0.05）。结论 采用保温措施可明显缩短全麻唤醒手术患者术中苏醒时间，缓解患者寒战症状，降低其躁动发生率。

全麻唤醒手术；保温；寒战

【Abstract】

Objective To investigate the effect of heat-preservation on chills，dysphoria and intraoperative wake-up in patients receiving general anesthesia. Methods 116 cases of intraoperative wake-up anesthesia in our hospital were selected. They were randomly divided into different groups，with 58 cases in each group. The control group was given routine treatment，and the observation group was given the temperature of heat preservation. We compared two groups of chills，restlessness and recovery time in operation. Results The observation group after incubation postoperative shivering grade and intraoperative chills levels were significantly lower than the control group，the difference were statistically significant（P＜0.05）. The incidence of agitation in the observation group was 0%（0/58），and the control group was 15.5% （9/58），and the difference was statistically significant（P＜0.05）. Conclusion The use of heat preservation measures can significantly shorten the general anesthesia wake-up surgery recovery time，significantly alleviated chills symptoms of patients，reduce the restlessness occurrence rate.

【Key words】General anesthesia wake-up surgery，Heat preservation，Shivering

术中唤醒全麻技术是在手术某阶段中要求麻醉患者清醒状态下完成指令动作与一些神经测试，以评价患者神经功能状态的麻醉技术［1］。有研究表明［2-3］，在围手术期，低体温可导致麻醉药物在体内代谢缓慢、残留较多，致使患者苏醒延迟、术后寒战及苏醒期躁动等众多不良后果。本研究抽取来我院行术中唤醒全麻手术的116例患者，进行分组分析，以探讨保温对全麻唤醒手术患者寒战躁动及术中苏醒的影响，现报道如下。

1　资料和方法

1.1一般资料

选取2014年3月～2015年7月来我院行术中唤醒全麻手术的116例患者，随机分组，每组58例。观察组男31例，女27例，年龄18～75岁，平均年龄（41.5±8.2）岁；对照组男32例，女26例，年龄19～76岁，平均年龄（40.7±8.4）岁。对比两组患儿性别构成、年龄等资料差异无统计学意义（P＞0.05）。具有可比性。……