【摘要】 目的探讨充气式升温机复合多沙普仑对老年患者上腹部手术复苏的影响。方法选择100例60岁以上择期上腹部手术符合入选要求的患者作为研究对象,将其随机分为试验组及对照组,各50例。两组均采取常规的保暖,试验组另加充气式升温机保暖,并待患者能首次睁眼时即予单次静脉注射多沙普仑0.6mg/kg,于术后不同时段记录患者的体温、SPO2、心率、血压、睁眼时间、苏醒时间及在恢复室的停留时间。结果试验组在保暖后15、30、60、90min的体温比对照组回升快且恒定,效果优于对照组(P<0.05);睁眼时间、苏醒时间及在恢复室的停留时间显著短于对照组(P<0.05)。结论老年患者上腹部手术后采用充气式升温机复合多沙普仑能缩短苏醒时间及患者在恢复室的停留时间。更多还原

【Abstract】 Objective To investigate the effects of air-forced blanket combined with doxapram on postoperative emergence in elderly patients undergoing upper abdominal surgery. Methods One hundred elderly patients undergoing upper abdominal surgery were randomly assigned to control group or study group, with 50 patients in each group. All patients entering PACU were warmed by routine method. In study group, the patients were additionally warmed by air-forced blanket and 0.6 mg/kg doxapram were intravenously administrated while the patients opened their eyes. The body temperature, pulse oxygen saturation, heart rate and blood pressure were recorded, and the time for opening eyes, emergence and discharging from PACU were also recorded. Result The body temperature recovered significantly faster in study group than in control group, P<0.05. The time for opening eyes, awake time and the time for discharging from PACU were significantly shorter in study group than in control group, P<0.05. Conclusion Air-forced blanket combined with Doxapram can shorten the time of emergence and discharging from PACU in elderly patients undergoing upper abdominal surgery, which deserves being widely used in clinical setting.更多还原