护理干预在预防泌尿外科腔镜手术患者术中低体温的研究

The effect of nursing intervention on the intraoperative hypothermia of patients with urology laparoscopic surgery

目的观察泌尿外科行腔镜手术治疗的患者在术中出现低温后，予以护理干预的临床效果。方法对2008年11月至2011年11月在我科行腔镜手术治疗的240例患者临床资料进行回顾性分析，将其随机分为A、B两组各120例。B组患者依据手术进行常规护理，A组予以保温护理等相应的护理干预，对两组患者在术中体温的变化与手术情况进行对比。结果两组患者术前体温比较，差异不显著（P〉0．05），两组患者术中、术后体温同术前比较，差异显著（P〈0．01），A组患者体温变化同B组比较，幅度较小（P〈0．01）；两组患者失血量与术后的并发症比较，差异显著（P〈0．01）。结论对泌尿外科行腔镜手术治疗的患者，在围术期实施护理干预，不仅效果显著，而且能够有效地防止患者术中出现低体温及术后寒战等情况，对其顺利渡过手术期以及预后均有重要的临床意义，应予推广。

Objective To observe the clinical effects of nursing intervention on the intraoperative hypothermia of patients with urology laparoscopic surgery. Methods The clinical data of 240 patients were analyzed retrospectively and they were randomly divided into group A and group B with 120 cases in each group. The patients of group B received routine nursing, while the patients of group A received insulation nursing. The changes of body temperature and operation situation of two groups were compared. Results There was no difference in the changes of body temperature before operation between two groups, and significant differences during operation and after operation （ P 〈 0. O1 ）. The change extent of body temperature of group A was smaller than that of group B. And there were significant differences in bleeding volume and postoperative complications between two groups （ P 〈 0.01 ） . Conclusions Nursing intervention on the patients with urology laparoscopic surgery can effectively prevent hypothermia and postoperative shivering. There was important clinical significance in surviving the surgery and prognosis, it is worthy spreading.