[1]李 超,何洪彬,付 杰,等. 温度护理对全身麻醉吸脂整形患者术中应激反应及麻醉效果的影响[J].中国美容医学,2019,(12):149-152.
　LI Chao,HE Hong-bin,FU Jie,et al. Effect of Temperature Nursing on Stress Reaction and Anesthesia Effect in LiposuctionPlastic Surgery Under General Anesthesia[J].Medical Aesthetics and Beauty,2019,(12):149-152.
点击复制

 温度护理对全身麻醉吸脂整形患者术中应激反应及麻醉效果的影响
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年12期
页码:
149-152
栏目:
出版日期:
2019-12-05

文章信息/Info

Title:
 Effect of Temperature Nursing on Stress Reaction and Anesthesia Effect in Liposuction
Plastic Surgery Under General Anesthesia
文章编号:
1008-6455（2019）12-0149-04
作者:
 李 超1; 何洪彬2; 付 杰3; 刘东林4
Author(s):
 LI Chao1; HE Hong-bin2; FU Jie3; LIU Dong-lin4
关键词:
 ; [关键词]温度护理; 吸脂整形手术; 应激反应; 全身麻醉
Keywords:
 ; Key words: temperature nursing;  liposuction plastic surgery;  stress response;  general anesthesia
分类号:
R473.6
文献标志码:
B
摘要:
[摘要]目的：探究温度护理对全身麻醉吸脂整形手术患者术中应激反应及麻醉效果的影响。方法：选取2017年3月-2018年6
月在笔者医院进行吸脂整形手术的114例患者，随机分为常规护理组（57例）和温度护理组（57例）。常规护理组患者给予
常规护理以及传统的保温措施，温度护理组则在常规护理的基础上给予温度护理。观察并比较两组术中相关指标、应激指
标、术中应激反应以及麻醉效果。结果：两组患者术中输液量、出血量、手术时间比较差异均无统计学意义（P ＞0.05）。
两组患者术前和麻醉开始时体温比较差异无统计学意义（P ＞0.05）；而在手术开始后2h、麻醉复苏前和麻醉复苏后，温度
护理组的体温显著高于常规护理组，差异有统计学意义（P ＜0.05）。两组患者术前应激指标AD、NE和CRP水平比较差异均无
统计学意义（P ＞0.05）；术后，两组患者应激指标AD、NE和CRP水平均升高，温度护理组应激指标低于常规护理组，差异有
统计学意义（P ＜0.05）。温度护理组低温、寒战和躁动发生率及完全清醒时间、插管时间、PACU滞留时间均低于常规护理
组，差异有统计学意义（P ＜0.05）。结论：温度护理应用于全身麻醉吸脂整形手术中对患者预后效果较好，可有效降低患
者应激反应，缩短患者复苏时间，对提升护理质量具有重要的临床指导意义。

Abstract:
Abstract: Objective To explore the effect on stress response and anesthesia effect in liposuction plastic surgery by temperature
nursing. Methods 114 patients who underwent liposuction plastic surgery in our hospital from March 2017 to June 2018
were randomly divided into the conventional nursing group (57 cases) and the temperature nursing group (57 cases). The
conventional nursing group was given conventional nursing and traditional heat preservation measures, while the temperature
nursing group was given temperature nursing on the basis of conventional nursing. Relevant intraoperative indicators, stress
indicators, intraoperative stress response and anesthetic effect were observed and compared between the two groups. Results
There was no significant difference in intraoperative infusion volume, bleeding volume and operation time between the two
groups(P ＞0.05). There was no significant difference in body temperature between the two groups before operation and at the
beginning of anesthesia(P ＞0.05). However, the body temperature of the temperature nursing group was significantly higher
than that of the conventional nursing group 2 hours after the operation, before and after the anesthesia resuscitation(P ＜0.05).
There was no significant difference in the levels of AD, NE and CRP between the two groups(P ＞0.05). After operation, the
levels of AD, NE and CRP in the two groups increased, and the stress indexes in the temperature nursing group were lower than
those in the conventional nursing group(P ＜0.05). The incidence of hypothermia, shivering and agitation, the time of complete
awake, intubation and PACU retention in the temperature nursing group were lower than those in the conventional nursing
group(P ＜0.05). Conclusion Temperature nursing has a good prognostic effect on patients in general anesthesia liposuction
plastic surgery. It can effectively reduce patients’ stress response and shorten patients’ recovery time. It has important clinical
guiding significance for improving the quality of nursing.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(12):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(12):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(12):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(12):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(12):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(12):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(12):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(12):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(12):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(12):27.

更新日期/Last Update: 2020-01-09