护理干预对经尿道前列腺电切术低体温发生的影响

Nursing intervention on hypothermia due to transurethral resection of prostate

目的通过对经尿道前列腺电切术患者围手术期实施一系列低体温护理干预,分析干预措施对电切术低体温发生的影响,为临床护理提供指导作用。方法选取2011年1月～2011年12月本院泌尿外科病区行前列腺电切手术的患者共80例为研究对象,分为对照组和观察组,对照组采用一般保温措施,观察组采用盖温毯、加温输液和37℃的灌洗液等措施。观察2组手术前后生命体征的变化。结果术前2组患者的心率、体温和平均动脉压比较无统计学差异(P>0.05)。术中60min后至术毕,对照组体温均低于观察组(t=6.13,P<0.05),2组术中体温下降幅度差异有统计学意义(P<0.05);术后观察组的心率明显高于对照组,平均动脉压明显低于对照组,差异有统计学意义(t=5.340,7.141,P<0.01)。结论采取综合性保温措施可维持经尿道前列腺电切术患者正常体温,降低术中及术后并发症发生率。

Objective To investigate effect on hypothermia of a series of nursing intervention implementing to patients received transurethral resection of prostate. Methods Chose 80 cases needed transuretbral resection of prostate from January 2010 to Decem- ber 2010 as our study object, and divided them into control group and observation group.Control group received routine care, while observation group were covered with blanket, warming lavage fluid to 37~C ,and so on. Observed the vital signs in the 2 groups before and after surgery.Results There were no significant differences in the 2 groups with heart rate, body temperature, and mean arterial pressure （/）〉0.05）. From 60 min after starting surgery to postoperative, body temperature of the control group were lower than that of observation group（t=6.13,P〈O.05）.Change of body temperature intraoperative in 2 groups was statistically significant（P〈0.05）.Postoperative heart rate and body temperature of observation group were significantly higher, and mean arterial pressure was significantly lower（t= 5.340,7.141,P〈0.01）.Conclusion Taking integrated measures can maintain normal body temperature of transurethral resection patients, and reduce the intraoperative and postoperative complication.