摘要
目的研究术前联合术中保温对全麻下行经皮肾镜钬激光碎石术（PCNL）患者术后转归的影响。方法选择90例美国麻醉师协会（ASA）分级Ⅰ-Ⅱ级择期全麻下行PCNL的患者,30例不给予额外的保温措施（G1组）;30例给予术前0.5 h联合术中变温毯保温（G2组）;30例只行术中变温毯保温（G3组）。3组麻醉诱导后每30 min记录患者体温一次,并记录患者术后拔管时间及苏醒拔管期相关并发症的发生率。结果 G2组麻醉诱导后至术毕时低体温发生率明显低于G1和G3组（P〈0.05）;G2组拔管时间为（10±2.0）min,较G1组（18±4.3）min和G3组（15±1.9）min短（P〈0.05）,且术毕时寒颤反应最轻。结论术前联合术中保温能降低全麻术中和术后低体温以及术后寒颤发生率,缩短拔管时间,提高苏醒质量。
Objective To investigate the effect of preoperative incubation combined with intraoperative incubation on the postoperative outcomes of patients who were scheduled for percutaneous nephroscope holmium laser lithotripsy under general anesthesia. Methods 90 patients with ASA physical status Ⅰ-Ⅱ who had planed to receive percutaneous nephroscope holmium laser lithotripsy under general anesthesia. were randomly divided into 3 groups; 30 cases did not receive any additional heat preservation measures（G1）; 30 ones were given 0.5 h preoperative incubation combined with intraoperative temperature-adjusting blanket to keep body temperature（G2）; 30 ones were given intraoperative incubation only. Their body temperatures were recorded once every 30 min during operation. Extubation time and related complications of three groups during recovery period were recorded. Results G2 group had apparently lower incidence of hypothermia than G1 and G3 group during the operation. The extubation time in G2 group was（10 ±2.0）min and was earlier than G1（18 ±4.3）min and G3（15 ±1.9）min group; G2 group had lower shivering response incidence compared with G1 and G3 group. Conclusion Preoperative incubation combined with intraoperative incubation can not only reduce perioperative hypothermia and shivering response in patients undergoing percutaneous nephroscope holmium laser lithotripsy, but also shorten the extubation time and improve the quality of awakening.
出处
《西南国防医药》
CAS
2016年第11期1279-1281,共3页
Medical Journal of National Defending Forces in Southwest China
基金
四川省卫生厅课题(110469)
关键词
激光
碎石术
保温
术前
术中
percutaneous nephroscope holmium laser lithotripsy
Incubation
preoperative
intraoperative
