手术患者术中低体温的护理

Nursing care of intraoperative hypothermia

术中低体温可导致围手术期多种并发症,影响患者预后,已引起临床医护人员的重视。手术期间,适当的体温下降可以降低机体组织代谢、减少耗氧量,增强对损伤的耐受性,起到保护机体的作用;而过度的体温下降,则增加伤口感染、酸中毒、凝血功能障碍、心律失常等并发症的发生,严重者会威胁患者的生命。本文着重分析造成手术患者术中体温过低的原因,提出手术中有效监测患者的体温变化,采用综合、合理安全的护理方法可有效防止术中低体温的发生,缩短患者住院时间。

Intraoperative hypothermia can lead to a lot of complications during peri-operative period, that may affect the prognoses of patients and has attracted clinical doctors and nurses to pay attention to. During the operation period, proper hypothermia can reduce tissue metabolism, reduce oxygen consumption, enhance tolerance to injury and protect the body; while excessive hypothermia can increase the incidences of wound infection, acidosis, blood coagulation dysfunction, arrhythmia and other complications, that may seriously threaten the life and health of operative patients. In this article, the causes of excessive hypothermia during operation were mainly analyzed, effectively monitoring temperature changes in intra-operative patients was proposed and carried out to find out the main causes leading to the body temperature lowering, and then comprehensive, reasonable and safe nursing methods were applied to effectively prevent the occurrence of excessive hypothermia during operation, so that the hospitalization time can be shortened.