ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-028 康复与疾病管理 2025, (06)

充气升温毯干预对麻醉复苏室患者低体温相关并发症的预防效果

福泉市第一人民医院

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摘要

摘要:目的 观察充气升温毯干预对麻醉复苏室(PACU)患者低体温相关并发症的预防效果,为临床优化 PACU 护理方案提供科学依据。方法 选取本院 2024 年 6 月至 2025 年 6 月的 80 例 PACU 患者,采用随机数字表法分组,常规组(n=40)采用普通棉被覆盖患者体表,干预组(n=40)在常规棉被覆盖基础上联合充气升温毯干预。对比两组患者入 PACU 时(T0)、入 PACU 后 15 min(T1)、45 min(T2)及出 PACU 时(T3)的体温变化,不同时间点生命体征[收缩压(SBP)、舒张压(DBP)、心率(HR)],并发症发生率、恢复指标。结果 T1、T2、T3 时,干预组体温均高于常规组(P<0.05)。T1、T2、T3 时,干预组 SBP、DBP 高于常规组,HR 低于常规组(P<0.05)。干预组并发症发生率低于常规组(P<0.05)。干预组 PACU 停留时间与总住院时间均短于常规组(P<0.05)。结 论 充气升温毯干预可有效维持 PACU 患者体温稳定,改善生命体征,降低低体温、寒战、心律失常等并发症发生率,缩短 PACU 停留时间与总住院时间,且安全性良好,值得在临床 PACU 治疗中推广应用。

Abstract

Abstract: Objective To observe the preventive effect of inflatable warming blanket intervention on hypothermia related complications in patients in the post-anesthesia care unit (PACU), and provide scientific basis for optimizing PACU nursing plan in clinical practice. Methods A total of 80 PACU patients from June 2024 to June 2025 in our hospital were selected and grouped by random number table method. The control group (n=40) used regular cotton blankets to cover the patients’ bodies, while the intervention group (n=40) combined the regular cotton blanket with an inflatable warming blanket. The temperature changes of both groups of patients were compared at different time points: upon entering the PACU (T0), 15 minutes after entering the PACU (T1), 45 minutes after entering the PACU (T2), and upon leaving the PACU (T3). Vital signs (systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), complication rates and recovery indicators at different time points were also compared. Results At T1, T2, and T3, the intervention group had higher body temperature than the control group (P<0.05). At T1, T2, and T3, the intervention group had higher SBP and DBP than the control group, and lower HR than the control group (P<0.05). The incidence of complications in the intervention group was lower than that in the control group (P<0.05). The PACU stay time and total hospitalization time in the intervention group were shorter than those in the control group (P<0.05). Conclusion Inflatable warming blanket intervention can effectively maintain stable body temperature in PACU patients, improve vital signs, reduce the incidence of complications such as hypothermia, shivering, and arrhythmia, shorten PACU stay time and total hospitalization time, and has good safety. It is worth promoting and applying in clinical PACU treatment.

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[1]付贤红,田军.充气升温毯干预对麻醉复苏室患者低体温相关并发症的预防效果[J],2025,01(06):.