缩短肝移植病人术中复温时间的护理观察

The nursing research of shortening the temperature rewarming time in the operation of liver transplantation

目的:缩短肝移植病人术中复温时间,减少低体温的合并症。方法:将110例病人随机分为实验组和对照组,实验组在新肝植入血管吻合成功开放时,用41-43℃的无菌生理盐水冲洗新肝及腹腔,冲洗时间持续8～10min,冲洗液量约2000mL。对照组按传统方法不进行温盐水冲洗。结果:复温时间试验组短于对照组(P<0.001)。结论:采用新的护理方法,有效地缩短了肝移植术中复温时间,减少低体温合并症,促进肝移植病人康复。

Objective To shorten the temperature time rewanning in liver transplantation and reduce the complications of low body temperature. Methods： 110 patients were randomly subdivided into experimental group and contral group. As new liver transplanted and blood vessel successfully opened in experimental group, liver and abdominal cavity were washed with about 2000 mL bacteriafree NS of 41 - 430℃ for 8-10 minutes. Results： The temperature rewanning time （min） of experimental group was 122.97 minates and 76.47 less than the control group. （P 〈 0.001 ）. Conclusion： The temperature rewarming time in liver transplantation and the complications of low body temperature were significantly reduced by the new method, and the recovery of the patients was promoted.