脊柱手术期间强制加热空气的毯子位置对患者手术期间体温的影响
Natasha Joubert1, Celia Filmalter1, Zelda White1
1University of Pretoria, Pretoria, South Africa.
概括
在脊柱手术期间使用全身下部强制空气加热毯子有助于保持正常的体温. 这种方法建议在脊柱台上的患者使用,以防止手术期间的低温.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
背景情况:
- 国际麻醉学会建议手术患者使用体温系统.
- 对于脊柱手术患者的强制空气加热毯子定位存在有限的研究.
- 这项研究探讨了在脊柱手术期间毯子定位对手术期间体温的影响.
研究的目的:
- 为了研究强制空气加热毯子位置对脊柱手术患者手术期间体温的影响.
- 为了比较全身底部与手术接入毯子定位的有效性.
主要方法:
- 一项随机比较实验研究,涉及60名接受后脊椎手术的成年患者.
- 患者被分配到全身下部 (n=30) 或手术接入 (n=30) 强迫空气加热毯组.
- 在手术期间记录体温,并进行统计分析 (T-test,Chi-square,MANOVA).
主要成果:
- 与外科手术接入组相比,全身下部治疗组的内手术性低温明显减少 (p=0.020).
- 从15分钟到240分钟的组之间观察到体温变化的显著差异,平均差异为0.5°C.
- 全身底部位置显示出优越的温度维持.
结论:
- 强迫空气加热毯子的全身下部位置有效地保持脊柱手术期间的正常核心体温.
- 对于脊柱外科手术患者来说,这种定位建议在倾斜的位置上的脊柱桌上.
- 优化暖化毯子的放置对于患者的安全和温度调节至关重要.
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