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目的观察全身麻醉术后患者在麻醉苏醒室(PACU)寒颤的发生率,及时纠正患者的寒颤,以保证其平稳渡过麻醉苏醒期。方法回顾性分析2012年9月-2013年7月18 931例全身麻醉术后入PACU的患者的寒颤发生率、寒颤与手术部位的相关性,分析采用调高室温、使用棉被及保温毯、大量输血输液时使用加温器等护理干预措施后的效果。结果 18 931例麻醉苏醒期患者中发生寒颤124例,发生率为6.55‰;其中腹部手术患者最多,占33.87%。以腹部、脊柱手术寒颤发生率最高,为8.87‰和7.30‰。给予护理干预及用药30 min后102例患者寒颤缓解,缓解率为82.25%。结论应对入PACU的患者进行全面评估并在PACU期间进行密切监护,及时发现术后寒颤,采取积极治疗和护理干预措施,使患者平稳、安全地渡过麻醉苏醒期。
Objective To observe the incidence of chills in anesthesia-recapitulating patients (PACU) after general anesthesia and promptly correct chills in patients with stable anesthesia during the recovery period. Methods A retrospective analysis of the incidence of chills, shivering and surgical site in 18 931 patients admitted to PACU between September 2012 and July 2013 was conducted. The analysis was made on the following aspects: increasing room temperature, using blanket and blanket, A large number of blood transfusions and other nursing interventions after the effect of warmer. Results A total of 124 cases of chills were found in 18 931 patients during anesthesia and awakening. The incidence was 6.55 ‰, of which 33.87% were abdominal surgery. The abdomen, spine surgery chills highest incidence of 8.87 ‰ and 7.30 ‰. After nursing intervention and medication for 30 min, 102 patients were relieved of chills, the remission rate was 82.25%. Conclusions Patients with PACU should be evaluated comprehensively and closely monitored during PACU. Postoperative chills should be promptly detected. Active treatment and nursing interventions should be taken to make patients smoothly and safely pass through the anesthesia recovery period.