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电阻加热式患者身下毛毯与强制空气加温系统的疗效比较:一项随机对照试验。

The efficacy of a resistive heating under-patient blanket versus a forced-air warming system: a randomized controlled trial.

作者信息

Fanelli Andrea, Danelli Giorgio, Ghisi Daniela, Ortu Andrea, Moschini Elisa, Fanelli Guido

机构信息

Department of Anaesthesia, University Hospital of Parma, Parma, PR, Italy.

出版信息

Anesth Analg. 2009 Jan;108(1):199-201. doi: 10.1213/ane.0b013e31818e6199.

Abstract

BACKGROUND

We compared temperature changes in patients undergoing hip replacement during warming with a resistive heating blanket or air-forced system.

METHODS

Fifty-six patients were enrolled. Patients were randomly allocated to the "forced-air group" (forced-air system) or to the "heating-blanket group" (resistive heating under-patient blanket).

RESULTS

Baseline tympanic temperatures were 36.0 +/- 0.6 degrees C in the forced-air group and 36.1 +/- 0.4 degrees C in the heating-blanket group (P > 0.05). At the end of surgery tympanic temperatures were 35.3 +/- 0.5 degrees C in the forced-air group and 35.1 +/- 0.6 degrees C in the heating-pad group (P > 0.05).

CONCLUSIONS

We demonstrated that, using either a resistive heating-blanket or forced-air warming systems, patients ended surgery in mild hypothermia after elective total hip replacement, but without significant differences between these two warming devices.

摘要

背景

我们比较了使用电阻加热毯或强制空气系统进行升温时髋关节置换患者的体温变化。

方法

纳入56例患者。患者被随机分配至“强制空气组”(强制空气系统)或“加热毯组”(患者身下的电阻加热毯)。

结果

强制空气组的基线鼓膜温度为36.0±0.6℃,加热毯组为36.1±0.4℃(P>0.05)。手术结束时,强制空气组的鼓膜温度为35.3±0.5℃,加热垫组为35.1±0.6℃(P>0.05)。

结论

我们证明,在择期全髋关节置换术后,使用电阻加热毯或强制空气升温系统,患者均在轻度体温过低的状态下结束手术,但这两种升温设备之间无显著差异。

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