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[1]耿曉慧,柴昊,李帥壘,等.髖膝關(guān)節(jié)翻修術(shù)圍手術(shù)期預(yù)防低體溫的管理策略[J].中醫(yī)正骨,2023,35(12):57-59,68.
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髖膝關(guān)節(jié)翻修術(shù)圍手術(shù)期預(yù)防低體溫的管理策略()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年12期
頁(yè)碼:
57-59,68
欄目:
臨床報(bào)道
出版日期:
2023-12-20

文章信息/Info

作者:
耿曉慧柴昊李帥壘包偉東孫永強(qiáng)
河南省洛陽(yáng)正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016
關(guān)鍵詞:
低體溫 圍手術(shù)期 再手術(shù) 髖關(guān)節(jié) 膝關(guān)節(jié)
摘要:
目的:探討髖膝關(guān)節(jié)翻修術(shù)圍手術(shù)期預(yù)防低體溫的管理策略。方法:2019年1月至2022年9月,對(duì)282例髖膝關(guān)節(jié)翻修術(shù)圍手術(shù)期患者進(jìn)行了一系列規(guī)范化的管理措施,包括覆蓋床單、提高環(huán)境溫度、加溫輸注液體,以及艾灸、穴位貼敷、中藥熱熨等。記錄手術(shù)時(shí)間、術(shù)中失血量和麻醉復(fù)蘇時(shí)間,并觀察術(shù)后低體溫發(fā)生情況。結(jié)果:本組患者手術(shù)時(shí)間(2.73±0.76)h,術(shù)中失血量(459.09±174.38)mL,麻醉復(fù)蘇時(shí)間(14.83±5.36)min。12例患者返回病房24 h內(nèi)出現(xiàn)低體溫,其中4例經(jīng)積極對(duì)癥處理后癥狀消失,8例采取多種保溫措施后復(fù)溫; 其余患者均未出現(xiàn)低體溫。結(jié)論:對(duì)于髖膝關(guān)節(jié)翻修術(shù)患者,在圍手術(shù)期采取預(yù)保溫、主動(dòng)保溫、被動(dòng)保溫等一系列規(guī)范化的管理措施,可以減少術(shù)中失血量,縮短手術(shù)時(shí)間和麻醉復(fù)蘇時(shí)間,有效預(yù)防低體溫的發(fā)生。

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備注/Memo

備注/Memo:
基金項(xiàng)目:河南省中醫(yī)藥科學(xué)研究專(zhuān)項(xiàng)課題(2023ZY1019)
通訊作者:孫永強(qiáng) E-mail:[email protected]
更新日期/Last Update: 1900-01-01