护理干预预防经皮肾镜碎石术中发生寒战的效果观察

The effect of nursing interfering on the chill after percutaneous nephrostolithotomy

目的探讨护理干预预防经皮肾镜碎石术中发生寒战的效果。方法将160例经皮肾镜碎石手术患者随机分成对照组和观察组各80例。对照组术中按常规进行护理，观察组术中在常规护理的基础上加强保暖，室温提高至24—26℃，输入的液体、灌注液加温至37℃，并采取保温处理。于患者入手术室即刻（术前）、术中、术毕测量并记录T、HR、BP；观察术中寒战、躁动的发生情况。结果观察组术中、术毕体温显著高于对照组（P〈0．05或P〈0．01）；术中、术毕心率、收缩压显著低于对照组（P〈0．05或P〈0．01）；术中寒战、躁动发生率显著低于对照组（P〈0．01）。结论术前、术中采取有效保温措施，可减少寒战的发生，减轻患者痛苦。

Objective To discuss the effect of nursing interfering on the chill after percutaneous nephrostolithotomy （PCNL） . Methods 160 patients with PCNL were randomly divided into observation and control groups, each group 80 cases. Control group was given routine nursing, and observation group was given with routine nursing and keeping warm, including the room temperature increasing to 24 - 26 ℃, the temperature of the liquid which was inputted increasing to 37 ℃. The temperatures of pre - operative, intraoperative, post - operative of patients were tested, and T, HR, BP were all measured, the incidence of chili was observed. Results The temperatures of intraoperative, post -operative of patients of observation group were higher, the levels of HR, SBP at intraoperative and pest - operative were lower than those of control group （P 〈0. 05, P 〈0. 01 ）. The incidence of chill of observation group was lower than that of control group （ P 〈 0. 01 ） . Conclusions The effective heat preservation measure during intraoperative, pest - operative could reduce the incidence of chill and alleviating the suffering of patients.