手术患者术中低体温的护理对策及相关因素分析

Nursing Countermeasures and Related Factors Analysis of Intraoperative Hypothermia in Patients Undergoing Operation

目的研究手术患者术中出现低体温的护理对策以及相关因素,减少不良症状的发生。方法选取我院2015年1~12月进行手术且术中出现低体温症状患者共100例,随机分为研究组和对照组,各50例,对照组术中室温常规21~24℃,各类用药均采用常温液体;研究组患者术中室温调节至23~25℃,皮肤消毒类药剂经温液仪升温至40℃使用,术中静脉滴注、伤口冲洗等体内用药均经温液仪升温至37~39℃后使用。结果研究组患者术前体温(36.5±0.6)℃,对照组(36.5±0.4)℃,差异无统计学意义(P>0.05)。术中30 min、60 min及术后研究组患者体温(37.1±0.3)℃、(36.8±0.4)℃、(36.4±0.4)℃,对照组(36.2±0.3)℃、(36.0±0.4)℃、(35.7±0.2)℃,研究组患者术中和术后体温明显高于对照组(P<0.05);研究组患者术后发生寒战患者15例(15%),明显高于对照组寒战4例(4%),差异有统计学意义(P<0.05)。结论临床应积极的对术中体温下降的患者进行护理干预。

Objective To study the nursing strategies and related factors in patients with low body temperature during operation, and to reduce the incidence of adverse symptoms. Methods In our hospital from January to December 2015 for surgery and intraoperative appear symptoms of low body temperature in patients with a total of 100 cases, were randomly divided into study group and control group, each 50 cases control group conventional room 21-24 ℃, all kinds of drugs are used liquid at room temperature; the patients of the experimental group in the thermostat to 23-25 ℃, skin disinfection agents using the warmer heat up to 40 ℃, intraoperative vein drop note, wound irrigation in vivo drug were after 39 DEG C warmer heated to 37 degrees Celsius. Results The patients in the study group had preoperative temperature（36.5＋0.6） ℃, and the control group（36.5＋0.4） ℃, the difference was not statistically significant（P〈0.05）. Intraoperative 30 min, 60 min and postoperative study groups of patients with body temperature（37.1±0.3） ℃,（36.8±0.4） ℃ and（36.4±0.4） ℃, control group（36.2±0.3） ℃,（36.0±0.4） ℃ and（35.7±0.2） ℃, the study group of patients and postoperative temperature significantly higher than the control group（P〈0.05）; the patients of the experimental group occurred after shivering in 15 cases（15%）, significantly higher than those in the control group chills in 4 cases（4%）, the difference is statistically significant（P〈0.05）. Conclusion The clinical treatment should be positive in patients with intraoperative hypothermia nursing intervention.