循证护理在腹腔镜手术中预防低体温发生的效果研究

Clinical effect of evidence-based nursing on preventing hypothermia in laparoscopic surgery

目的探讨循证护理在腹腔镜手术中减少低体温发生率的作用。方法将100例患者随机分为观察组和对照组,每组50例。对照组患者给予一般护理,研究组患者给予循证护理,对比2组患者各时段的体温和围术期生理指标。结果观察组患者在术前体温与对照组无统计学差异,T_3时间点后与对照组开始出现显著差异直至手术结束(P<0.05或P<0.01)。观察组患者的血糖和血乳酸指数在T_6时间点和T_7时间点均显著低于对照组(P<0.05或P<0.01)。结论通过循证护理可以有效减少腹腔镜患者术中体温降低幅度,同时减少血糖和血乳酸的升高幅度,有助于改善患者术中生理功能和预后。

Objective To study the clinical effect of evidence-based nursing on preventing hypothermia in laparoscopic surgery. Methods A total of 100 patients were divided into study group and control group randomly, 50 cases for each group. Control group was given routine nurs- ing while study group added with evidence-based nursing. The body temperature and physiological index were monitored during different time points in surgery. Results At the beginning of surgery, there is no statistically significant difference in body temperature between two groups. But from T3 points the body temperature of control group showed a significant difference when compared with study group （P〈0.05 or P〈0.01）. The blood glucose and blood lactic acid in T6 and T7 time points of control group is significantly higher than in study group （P 〈 0.05 or P 〈 0.01）. Conclusion The evidence-based nursing can prevent hypothermia in laparoscopic surgery and alleviate the increase of blood glucose and blood lactic acid during surgery, which can improve the physiological function and prognosis.