摘要
目的探讨原发性肝癌患者术后早期体温恢复对患者术后康复的影响，为肝癌专科护理提供科学依据。方法选择2012年5月-2014年8月广西医科大学第一附属医院择期全身麻醉下行肝癌切除术后低体温患者90例，随机分为三组：快速复温组（体温于20～30min恢复正常，A组），缓慢复温组（体温于〉30～60min恢复正常，B组），延迟复温组（体温〉60min恢复正常，C组），每组各30例。各组均采用暖风毯进行复温，观察各组术后麻醉复苏室（PACU）停留时间、腹腔引流量、自主呼吸恢复时间、拔除气管插管时间、寒颤及烦躁等并发症、术后切口愈合及住院时间等。结果麻醉清醒时间A组[（27．76±23．78）min]和B组【（51．09±41,95）min]明显短于C组[（69．90±40．53）mini，PACU停留时间A组【（75．47±30．17）min]和B组【（86．23±36．16）mini明显短于C组[（111．40±37．60）min]，自主呼吸恢复时间A组[（15．41±9．79）min]和B组[（27．51±22．05）min]明显短于c组【（41．05±27．07）min]，拔除气管插管时间A组【（49．88±31．27）min]和B组[（63．90±38．49）min]明显短于C组[（89．50±48741）min】，差异有统计学意义（P〈0．05）；且与c组比较，A组和B组腹腔引流量明显减少，寒颤、躁动发生率降低，差异均有统计学意义（P〈0．05）。C组的切口愈合时间【（10．94±2．4）d】较A组[（7．31±1．68）d】和B组[（6．64±1．61）d】明显延长，差异有统计学意义（P〈0．05）；B组术后住院时间[（8．86±1．96）d]较C组[（11．35±2．59）a]缩短，差异有统计学意义（P〈0．05）。结论复温时间〈60min利于缩短麻醉清醒时间、PACU停留时间、自主呼吸恢复时间及拔除气管插管时间，减少复苏期寒颤、烦躁等并发症的发生率，同时还减少了腹腔引流量，缩短切口愈合时间和术后住院时间，更利于患者术后�
Objective To explore effects of early postoperative rewarming on postoperative recovery of patients with liver cancer, and provide a scientific basis for liver cancer specialist care. Methods Ninty patients of liver cancer in post- operative hypothermia undergoing general anesthesia, from May 2012 to August 2014, in the First Affiliated Hospital of Guangxi Medical University, were randomly divided into three groups, with 30 cases in each group, fast rewarming group （temperature at 20-30 min returning to normal, group A）, slow rewarrning group （temperature at 〈30-60 min returning to normal, group B）, and delayed rewarming group （temperature at time 〉60 min returning to normal, group C）. All groups were given warm blanket rewarrning, PACU residence time, abdominal drainage, spontaneous breathing recovery time, extubation time, chills and irritability and other complications, postoperative wound healing time and dura tion of postoperative hospitalization were observed. Results The Anesthesia recovery time of group A [（27.76±23.78） min] and group B [（51.09±41.95） min] were significantly shorter than that of group C [（69.90±40.53） rain], PACU residence time of group A [（75.47±30.17） min] and group B [（86.23±36.16） mill] were significantly shorter than that of group C [（111.40±37.60） min], spontaneous breathing recovery time of group A [（15.41±9.79） rain] and group B [（27.51±22.05） min] were significantly shorter than that of group C [（41.05±27.07） min], endotracheal intubation time of group A [（49.88± 31.27） min] and group B [（63.90±38.49） min] were significantly shorter than that of group C [（89.50±48.41） min], the differences were statistically significant （P 〈 0.05）. Compared with group C, abdominal cavity drainage volume in group A and group B were significantly reduced, the incidence of anesthesia recovery chills and agitation in group A and group B were significantly lower, the differences were statistically significant （P 〈 0.
出处
《中国医药导报》
CAS
2015年第20期160-163,共4页
China Medical Herald
关键词
原发性肝癌
低体温
麻醉复苏
康复
Hepatocellular carcinoma
Hypothermia
Anesthesia recovery
Rehabilitation
