腰椎手术引流管拔除后体温变化规律的观察

Observation and analysis of the temperature changes in nursing of patients with lumbar post-operation

目的了解腰椎手术引流管拔除后体温变化的曲线，以便及时查找原因，为临床护理提供依据。方法选择符合条件的腰椎手术患者101例，观察术前1d、手术当天至拔除引流管后3～5d的体温变化，以及术后血、尿常规检查结果。结果将术前1d的平均体温（基础体温）与术后3d、引流管拔除后1d、引流管拔除后3d内平均体温进行比较，差异均有统计学意义（P〈0．01）。结论腰椎手术后及拔除引流管后，患者的体温会较术前升高，但属于正常的生理反应，护理人员应对患者及其家属加强相关的健康教育。

Objective To study the temperature changes in lumbar post-operation, which is helpful for nurses to find out abnormal behaviors of patients and the related reasons on time. Methods The temperature, blood and urine routine of 101 patients with lumbar operation were analyzed for 1 day pre-operation, the day on operation, and 3 - 5 days post-operation. Results Basic temperature was compared to mean temperature of 3 days post-operation, 24 hours post-decannulation and 3 days post-decannulation. Data analysis showed significant difference among basic temperature and those mean temperatures （ P 〈 0. 01 ）. Conclusions The temperature changes after operation and decannulation are important. This issue might be stressed in the future nursing education.