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首页> 美国卫生研究院文献>American Journal of Translational Research >The related factors and countermeasures of hypothermia in patients during the anesthesia recovery period
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The related factors and countermeasures of hypothermia in patients during the anesthesia recovery period

机译：麻醉恢复期患者体温过低的相关因素及对策

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Objective: This research aims to explore and analyze the risk factors that lead to hypothermia in patients in the post-anesthesia care unit (PACU) and to investigate the heat preservation effects of the various heat preservation measures. Methods: A total of 224 patients who entered the PACU from February 2018 to October 2018 after anesthesia surgery in our hospital were recruited as the research cohort. Among them, 46 had hypothermia and 178 did not. The patients’ general and surgical data were recorded, and the risk factors for hypothermia in the PACU patients were analyzed using logistic regression. Another 68 hypothermia patients admitted to the PACU in our hospital were also recruited for this study. The patients in the routine group (RG) were insulated using quilts, while those in the observation group (OG) were insulated using inflatable warming blankets. The heat preservation effects of the two heat preservation methods on the PACU patients were compared. Results: Age >60 years old, an intraoperative infusion volume >1500 ml, an intraoperative blood loss >300 ml, major surgery, and an operation time >2 h were the risk factors for hypothermia in the PACU patients. The heat preservation times, the PACU retention times, and the patients’ awake times in the OG were shorter than they were in the RG, and the incidence of complications related to hypothermia in the OG was lower than it was in the RG. In addition, the degree of satisfaction in the OG was higher than it was in the RG. Conclusion: Age >60 years old, an intraoperative infusion volume >1500 ml, an intraoperative blood loss >300 ml, major surgery, and an operation time >2 h are risk factors for hypothermia in PACU patients. Inflatable warming blankets have a better heat preservation effect and bring higher patient satisfaction than traditional quilts.
机译：目的：本研究旨在探讨和分析患有麻醉后护理单位（PACU）患者体温过低的危险因素，并研究各种保温措施的保温效果。方法：从2018年2月到2018年10月，在我们医院麻醉手术后，共进入PACU的224名患者被招募为研究队列。其中，46个体温过低，178人没有。记录了患者的一般和手术数据，使用Logistic回归分析了PACU患者体温过低的危险因素。还招募了另外68名患者录取了我们医院的PACU的患者，也招募了这项研究。常规组（RG）中的患者使用质量进行绝缘，而观察组（OG）中的患者使用充气加热毯绝缘。比较了两种保温方法的保温效应PACU患者。结果：年龄> 60岁，术中输注体积> 1500毫升，术中失血> 300毫升，主要手术和操作时间> 2小时是PACU患者体温过低的危险因素。在og中的保温时间，pacu保留时间和患者的唤醒时间短于RG中的短，并且og中低温相关的并发症的发病率低于RG的低温。此外，OG中的满足程度高于RG的满意度。结论：年龄> 60岁，术中输注体积> 1500毫升，术中失血> 300毫升，主要手术和操作时间> 2小时是PACU患者体温过低的危险因素。充气变暖毯子具有更好的保温效果，比传统的绗缝具有更高的患者满意度。

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