以预防低体温为导向的前瞻性护理结合麻醉苏醒护理在子宫肌瘤患者全麻下子宫切除术中的应用效果

Application effect of prospective nursing guided by hypothermia prevention combined with anesthesia recovery nursing in hysterectomy under general anesthesia in patients with uterine fibroids

目的探讨以预防低体温为导向的前瞻性护理结合麻醉苏醒护理在子宫肌瘤患者全麻下子宫切除术中的应用效果。方法选取2019年5月至2022年5月收治的80例拟行全麻下子宫切除术的子宫肌瘤患者为研究对象,按照随机数字表法将其分为对照组和观察组,各40例。对照组实施常规护理,观察组在对照组基础上实施以预防低体温为导向的前瞻性护理结合麻醉苏醒护理。比较两组的干预效果。结果观察组的低体温、寒战发生率低于对照组,差异具有统计学意义(P<0.05)。观察组的完全苏醒时间、拔管时间、麻醉恢复室滞留时间短于对照组,差异具有统计学意义(P<0.05)。术毕,观察组的去甲肾上腺素(NE)、C反应蛋白(CRP)水平低于对照组,差异具有统计学意义(P<0.05)。术毕,观察组的凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)短于对照组,差异具有统计学意义(P<0.05)。结论以预防低体温为导向的前瞻性护理结合麻醉苏醒护理应用于子宫肌瘤患者全麻下子宫切除术中的效果较好,可降低低体温、寒战发生率,提高苏醒质量,减轻机体应激反应,改善凝血功能。

Objective To explore the application effect of prospective nursing guided by hypothermia prevention combined with anesthesia recovery nursing in hysterectomy under general anesthesia in patients with uterine fibroids.Methods A total of 80 patients with uterine fibroids who underwent hysterectomy under general anesthesia from May 2019 to May 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing,while the observation group was given prospective nursing guided by hypothermia prevention combined with anesthesia recovery nursing on the basis of the control group.The intervention effects of the two groups were compared.Results The incidence of hypothermia and chills in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The complete recovery time,extubation time and anesthesia recovery room retention time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).At the end of operation,the levels of norepinephrine(NE)and C-reactive protein(CRP)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At the end of operation,the prothrombin time(PT),thrombin time(TT)and activated partial thromboplastin time(APTT)in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Prospective nursing guided by hypothermia prevention combined with anesthesia recovery nursing has a good effect in hysterectomy under general anesthesia in patients with uterine fibroids,which can reduce the incidence of hypothermia and chills,improve the quality of recovery,reduce the body's stress response,and improve coagulation function.