综合保温护理对老年患者术中低体温及术后并发症的影响

Effect of comprehensive insulation care on intraoperative hypothermia and postoperative complications in elderly surgical patients

目的：探讨综合保温护理对老年患者术中低体温及术后并发症的影响。方法：选取我院2009年11月～2012年11月老年行择期全麻手术患者170例，随机分为对照组和实验组各85例，对照组常规护理，实验组进行综合保温护理，比较两组患者术中低体温的发生情况，术后气管导管拔管时间和清醒时间以及术后寒战和躁动情况。结果：实验组患者发生低体温25例，低体温发生率为29．4％；对照组发生低体温66例，低体温发生率为77．6％，实验组术中低体温发生率明显低于对照组（P〈0．01）；实验组在气管拔管时间和清醒时间均较对照组明显缩短（P〈0．05）；实验组术后寒战、躁动等术后并发症发生情况均明显低于对照组（P〈0．05）。结论：对老年全麻手术患者进行综合保温护理，不仅降低术中低体温的发生，同时缩短了术后麻醉清醒时间和拔管时间，大大降低寒战、躁动等不良反应的发生率，值得临床医院推广应用。

Objective ：To investigate the effect of comprehensive insulation care on intraoperative hypothermia and postoperative compli- cations in elderly surgical patients. Methods ： 170 elderly patients who received operation under general anesthesia in our hospital from No- vember 2009 to November 2012 were randomly divided into the control group and the experimental group {85 cases in each group）. The routine nursing care was taken in the control group and the comprehensive insulation care was implemented in the experimental group. The incidence of intraoperative hypothermia,postoperative extubation time, recovery time and the occurrence of postoperative shivering and rest- less of the patients were compared between the two groups. Results：The intraoperative hypothermia occurred in 25 patients and the inci- dence was 29.4% in the experimental group;it occurred in 66 patients and the incidence was 77.6% in the control group （ P 〈0.011 ）the postoperative extubation time and recovery time was significantly shorter in the experimental group than the control group （ P 〈 0.05 } ; the occurrence of postoperative shivering and restless of the patients was significantly less in the experimental group than the control group （ P 〈0.05}. Conclusion：The comprehensive insulation care for the elderly surgical patients with general anesthesia can not only reduce the incidence of intraoperative hypothermia,but also shorten postoperative recovery time and extubation time and reduce the occurrence of post- operative adverse reactions like shivering and restlessness.