患者苏醒期出现寒战引发的思考( 三 )

体感温度不适—术后低体温会使清醒的患者感到不适，虽然没有生命危险，但这种不适通常程度较重、持续较久。在一项研究中，未接受额外加温/保温措施的患者在手术结束时体温偏低2℃ ，需要2小时才能恢复正常体温和舒适状态[26] 。根据个案经验，与疼痛、恶心不同，关于术后过冷/过热不适感的记忆可留存多年。主动的皮肤加温可显著减轻体感温度不适、加快复温。与术后治疗低体温相比，通过术中充分保暖来防止体感温度不适和寒战显然更可取。
作者：张子银广州中医药大学第一附属医院
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