r
目的观察高龄患者剖胸围术期间低体温变化对患者术后恢复的影响。方法选择全麻剖胸高龄患者100例，随机分为常规组和保温组两组。常规组50例患者围术期未实行保暖措施，保温组50例术中采取电子液体加温仪输液，术后使用电热毯保温，观察两组患者围术期体温、血压、心率变化及术后引流量的多少和寒颤的发生率。结果与保温组相比，常规组患者术后体温下降、心率血压变化明显，同时引流量增加、寒颤的发生率增高，两组比较差异有统计学意义。结论高龄患者剖胸围术期维持正常体温，有利于避免潜在的术后并发症，有助于患者康复。r
　　关键词高龄围术期护理低温胸廓切开术r
　　中图分类R4723文献标识码B编16739701201601009303r
　　Thecauseofhypothermiai
perioperativeagedpatie
tsreceivi
gthoracotomya
d
ursi
gmeasuresr
　　SHENYa
1WANGKaige2FENGGe1GUOXia
1r
　　1Departme
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esthesiology，Pi
gdi
gsha
No1PeoplesHospital，Pi
gdi
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，Chi
a2Departme
tofThoracicSurgery，Pi
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No1PeoplesHospital，Pi
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ar
　　AbstractObjectiveToobservetheimpactofhypothermiai
perioperativeagedpatie
tsreceivi
gthoracotomyo
postoperativerecoveryMethodsAtotalof100agedpatie
tsreceivi
gthoracotomyu
derge
erala
esthesiawereselecteda
dra
domlyassig
edtotheregulargroupa
dthethermali
sulatio
group50patie
tsi
theregulargroupdid
otreceivethermali
sulatio
measuresduri
gtheperioperativeperiod50patie
tsi
thethermali
sulatio
groupreceivedi
fusio
viatheelectro
icfluidwarmi
gdeviceduri
gsurgerya
dreceivedthermali
sulatio
viatheelectricbla
ketaftersurgeryThecha
gesi
perioperativetemperature，bloodpressurea
dheartrate，a
dpostoperativedrai
agevolumea
dtherateofchillwereobservedResultsComparedwiththethermali
sulatio
group，theregulargrouphadlowertemperature，sig
ifica
tcha
gesi
heartratea
dbloodpressure，moredrai
agevolumea
dhigherrateofchillaftersurgery，withstatisticaldiffere
ceCo
clusio
Mai
tai
i
g
ormaltemperatureforperioperativeagedpatie
tsreceivi
gthoracotomyisco
ducivetoavoidi
gpote
tialpostoperativecomplicatio
sa
dfacilitati
gpatie
trecoveryr
　　KeywordsAgedPerioperative
ursi
gHypothermiaThoracotomyr
　　围术期低体温是患者在接受外科手术时经常遇见的问题，低体温所带来的危险因素也日益受到人们的重视。剖胸手术由于时间长、创口暴露面积大、静脉输注大量低温液体、术野冲洗广泛，更容易发生低体温的现象。为了提高手术成功率，降低术后并发症，我们对100例70岁以上的剖胸手术患者围手术期的临床指标进行观察，探讨老年剖胸患者围手术期低体温r