术中保温对老年手术患者切口愈合及炎性因子的影响

The effects of intraoperative warming on wound healing and inflammatory factors in elderly operating patients

目的探讨术中保温在老年手术患者中的应用效果。方法将100例老年手术患者分为观察组和对照组各50例，对照组围术期采用常规护理，观察组在对照组的基础上进行术中保温，比较两组患者的护理效果。结果观察组术中体温、切口甲级愈合率显著高于对照组，术中低体温的发生率显著少于对照组，差异有统计学意义（P〈0．05）。观察组术后24h的IL－6、CRP均显著低于对照组，差异有统计学意义（P〈0．05）。结论术中保温有利于减少老年手术患者术中低体温的发生，降低术后免疫抑制程度，促进切口愈合。

Objective To investigate the application effect of intraoperative warming in elderly operating patients. Methods A total of i00 cases of elderly operating patients were divided into the observation group and the control group, the control group was given conventional care during operation period, the observation group was given intraoperative wanning based on the control group, nursing effect was compared between two groups. Results The body temperature, class -A healing rate in the observation group were significantly higher than those in the control group, the incidence of intraoperative hypothermia was significantly less than that in the control group （ P 〈 0. 05） . The levels of IL - 6, CRP after operation 24 h in the observation group were significantly lower than those in the control group （P 〈 0. 05 ） . Conclusions Intraoperative warming is conducive to reducing intraoperative hypothermia of the elderly patients during operation and the degree of inhibition of immune after operation, promote wound healing.