摘要
目的探讨不同术后镇痛方式对下肢骨折行内固定患者术后体温变化的影响。方法选择150例下肢骨折行内固定术患者,根据术后镇痛情况分为硬膜外镇痛组(E组)、静脉镇痛组(I组)及prn肌注镇痛组(C组),每组50例。观察三组术后3d的体温变化和寒战发生情况。结果手术前三组体温均在37.5℃以下。术后E组正常体温40例,占80%,C组正常体温25例,占50%,I组正常体温20例,占40%。E组体温增高人数明显低于CI、组(P<0.05)。术后第1d C、I组平均体温高于E组(P<0.05)。术后E组寒战发生率和寒战程度高于I、C组(P<0.05)。结论术后硬膜外镇痛可避免下肢骨折行内固定患者术后体温增高,减轻患者不良应激,但术后需加强患者的体温监测及护理,防止低体温,而静脉镇痛使患者术后体温增高。
Objective To evaluate the effect of three different postoperative analgesia methods on body temperature for the patients undergoing orthopedics surgery and find out related nursing method.Methods 150 patients were randomly divided into three groups each：with 50 cases,the postoperative epidural analgesia group（group E）,the patient-controlled intravenous analgesia group（group I） and control group（group C）.The body temperature were measured before operation,the three days after operation at 6 Am,2 Pm and 8Pm.The incidence and degree of shivering and the changes of body temperature were recorded during the days after operation.The postoperative complications were recorded.Results The incidence and degree of shivering in group E was significantly higher than that in group I and group C respectively.The mean body temperature for patients in group I and C were significantly higher than group E in the 1 day after operation.To compared with group E,The rate of increased body temperature was significantly higher in group Ⅰand group C（P0.05）.Conclusion The postoperative epidural analgesia can low the postoperative body temperature.Moreover,patients underwent PCIA have longer duration of fever and nursing education should be improved.
出处
《临床护理杂志》
2011年第1期13-15,共3页
Journal of Clinical Nursing
关键词
下肢骨折
术后镇痛
lower extremity fractures
postoperative analgesia
