林曦 杨代和 潘培梅

【摘要】 目的：探討穴位按摩对前列腺电切术后麻醉苏醒期患者低体温的影响。方法：选取2017年8月-2018年8月在福建中医药大学附属第二人民医院行前列腺电切手术术后腋温在34 ℃～36 ℃的复苏患者60例作为研究对象，将患者按随机分组方法分为观察组和对照组，每组30例。两组均给予院内常规治疗和护理，观察组在常规治疗和护理的基础上增加穴位按摩。对比两组体温恢复时间、寒战缓解时间及不良反应发生率。

结果：观察组体温恢复时间及寒战缓解时间均早于对照组，差异均有统计学意义（P<0.05）;观察组不良反应发生率（6.67%）低于对照组（23.33%），差异有统计学意义（P<0.05）。结论：穴位按摩对改善前列腺电切术后麻醉苏醒期低体温问题有明显的改善作用，能够更快地帮助患者恢复正常体温，减轻低体温对患者造成的不良影响。

【关键词】 穴位按摩 低体温 麻醉苏醒期 前列腺电切

doi：10.14033/j.cnki.cfmr.2020.08.068  文献标识码 B  文章编号 1674-6805（2020）08-0-03

Effect of Acupoint Massage on Improving Hypothermia during Postoperative Anaesthesia Recovery of Prostate Gland/LIN Xi， YANG Daihe， PAN Peimei. //Chinese and Foreign Medical Research， 2020， 18（8）： -164

[Abstract] Objective： To investigate the effect of acupoint massage on hypothermia in patients undergoing postoperative anaesthesia resuscitation. Method： From August 2017 to August 2018， 60 patients with resuscitation with axillary temperature of 34 ℃ to 36 ℃ after prostatectomy in the Second Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine were selected as research objects. The patients were randomly divided into the observation group and the control group， with 30 patients in each group. Both groups were given routine treatment and nursing in hospital. The observation group added acupoint massage on the basis of routine treatment and nursing. The time required for hypothermia to return to normal body temperature and the recovery time for chills relief were compared between the two groups. Result： The time required to return to normal body temperature and the time required for the remission and recovery of chills of the observation group were significantly earlier than those of the control group， the differences were statistically significant （P<0.05）. The incidence of adverse reactions of the observation group （6.67%） was lower than that of the control group （23.33%）， the difference was statistically significant （P<0.05）. Conclusion： Acupoint massage can significantly improve hypothermia during anesthesia recovery after prostatectomy. It can help patients recover normal body temperature faster and reduce adverse effects of hypothermia on patients.

[Key words] Acupoint massage Hypothermia Anesthesia recovery period Electroresection of prostate

First-authors address： The Second Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou 350003， China

低体温是患者麻醉苏醒期常见并发症之一，临床上通常将中心温度在34 ℃～36 ℃定义低体温，前列腺电切术后低体温发生率为50%～70%。低体温常引起寒战反应，寒战时患者发生不随意的肌肉收缩，主观感到冷，客观检查体温低、四肢皮温下降明显，造成机体耗氧量增加，呼吸循环系统负担增大的一组临床症候群。国内外对于低体温的解决方案以物理升温及药物控制症状为主，这些解决方案存在经濟负担重，起效时间长等问题。中医理论认为，体温的维持主要与气的温煦作用有关，畏寒症多是由于气血不足、内伤阳气、卫阳不固、肢体肌肤失于温煦，故出现手脚发凉、怕冷、面色白、倦怠喜卧、寒战等一系列阳虚而寒的症状。穴位按摩相应的腧穴能够起到温经散寒、扶阳固脱、温通气血、消除寒战等作用。……