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目的评价婴幼儿在胸腹部手术中实施保温干预的效果。方法将58例婴幼儿分为干预组(28例)和对照组(30例),干预组:将手术室温度调节在26～28℃,预热消毒液、冲洗液和盖被,输入的液体加温等;对照组:将手术室温度调节在22.0～24.0℃,常温下使用消毒液、冲洗液,输入液体、盖被不加温,观察2组患儿入室时、消毒后20min、开胸腹腔后1h的心率、收缩压、体温,并比较。结果2组患儿术中心率、收缩压无明显变化(P>0.05),体温入室时与消毒后20min和手术后1h相比较,差异有统计学意义(p<0.01)。结论在婴幼儿胸腹部手术中实施保温干预可以减少对生命体征的干扰和并发症的发生。
Objective To evaluate the effects of thermal insulation intervention in infants and young children during thoracoabdominal surgery. Methods Fifty-eight infants and young children were divided into intervention group (n = 28) and control group (n = 30). Intervention group: the operating room temperature was adjusted at 26 ~ 28 ℃, preheating disinfectant, irrigation solution and lid, The control group: the operating room temperature was adjusted at 22.0 ~ 24.0 ℃, at room temperature using disinfectant, irrigation fluid, the input liquid, the lid was not heated, the observation group 2 children into the room, 20min after disinfection, open chest Abdominal 1h after the heart rate, systolic blood pressure, body temperature, and more. Results The heart rate and systolic blood pressure did not change significantly between the two groups (P> 0.05). The difference was statistically significant (P <0.01) when the body temperature entered the room compared with 20 minutes after disinfection and 1 hour after surgery. Conclusions Insulation intervention in chest and abdomen in infants and young children can reduce the interference of vital signs and the occurrence of complications.