目的 探讨充气升温仪在全身麻醉苏醒期中的应用价值。方法 分析空军总医院2016-05至2017-02间行腹腔镜胆囊切除手术治疗的130例苏醒期使用充气升温仪复温的情况,随机分为2组,其中试验组58例,对照组72例。试验组应用充气升温仪升温,对照组为常规复苏。记录比较两组患者的手术时间、出血量、输液量、尿量、拔管时间、完全清醒时间、躁动及寒战发生率。结果 130例均完成腹腔镜胆囊切除手术,两组间手术时间、输液量、出血量、尿量比较,差异均无统计学意义;试验组的拔管时间、完全清醒时间均短于对照组[(13.8±7.2) min vs (19.6±7.8) min;(47.5±7.6) min vs (55.6±11.5) min],差异有统计学意义( P<0.01)。试验组患者躁动及寒战发生率均显著低于对照组(10.3% vs 25.0%; 6.9% vs 30.6%),差异有统计学意义。结论 充气升温仪能缩短拔管及全麻苏醒时间,降低躁动及寒战发生率,值得临床推广。

Objective To evaluate the efficacy of forced-air warming equipment in patients who are recovering from general anesthesia. Methods From May 2016 to February 2017, 130 cases of patients scheduled for laparoscopic cholecystectomy were enrolled and randomly divided into two groups with methods used for temperature recovery. Group One was helped by forced-air warming equipment ( n=58)while Group Two received common nursing care( n=72). Difference of the operation duration, blood transfusion, infusion volume, urine output, extubation time, the time interval between the end of operation and wake-up, incidence of shiver and agitation were compared between the two groups. Results All the 130 cases of laparoscopic cholecystectomy were accomplished. The operation duration, blood transfusion, infusion volume and urine output were comparable between the two groups. The extubation time and the time interval between the end of operation and wake-up were shorter in patients who had used the forced-air warming system than in the control group(13.8±7.2 min vs 19.6±7.8 min; 47.5±7.6 min vs 55.6±11.5 min, P<0.001). Furthermore, the incidence rate of shiver and agitation was significantly lower in the treatment group than in the control group(10.3% vs 25%; 6.9% vs 30.6%). Conclusions The application of force-air warming equipment could not only shorten the extubation time and the time interval between the end of operation and wake-up, but also reduce the incidence of shiver and agitation. The forced air warming equipment is worthy of popularization in nursing care.