围术期保温措施在经皮肾镜取石术中的研究应用

Application of heat preservation measures in percutaneous nephrolithotomy in perioperation

目的探讨围术期保温在经皮肾镜取石术中的作用,以减少并发症,提高围术期护理质量。方法将80例确诊肾盂输尿管结石需行经皮肾镜手术的患者随机分成对照组和实验组各40例。对照组按一般手术常规护理,观察组患者围术期针对易产生低体温环节加强综合保温措施。记录患者术前、术中、手术结束时的体温和寒颤情况。结果 2组术前体温比较差异不显著(P>0.05),术中及术后体温观察组高于对照组(P<0.05);2组麻醉苏醒期情况比较,观察组苏醒延迟、寒颤、躁动发生率低于对照组(P<0.05);观察组术后下床活动时间、平均住院时间少于对照组(P<0.05)。结论对经皮肾镜取石术患者采取围术期保温措施,可以有效预防手术时出现寒颤、躁动等不良反应,减少低血氧症、心脏损害和心动过速等并发症的发生,提高围术期护理质量,促进患者快速康复,缩短住院时间及减少费用,保证围术期患者的安全。

Objective To discuss the effect of perioperative period heat preservation in percutaneous nephrolithotomy, to reduce complications and improve the quality of perioperative care. Methods A total of 80 patients with percutaneous nephrolithotomy were randomly divided into control group and experimental group. The control group was given routine care, and experimental group strengthened comprehensive heat preservation in the perioperative period. Patient＇s preoperative, intraoperative and postoperative body temperature, and chills condition were recorded （P 〈 0.05 ）. Results There was no significant difference in the body temperature between the two groups, intraoperative and postoperative body temperature in the observation group was higher than the control group （P 〈 0.05 ） ; The incidences of wake delay, chills and restlessness in the observation group were lower than that in the control group （ P 〈 0.05 ） ; Postoperative activity time and average hospital stay in the observation group was lower than the control group （ P 〈 0.05 ）. Conclusion Heat preservation measures for patients with percutaneous nephrolithotomy can effectively prevent the occurrence of chills, restlessness and other adverse reactions, reduce the incidence of complications such as hypoxemia, heart dam- age and tachycardia, and improve the quality of perioperative care, so as to promote the rapid recovery of patients, shorten the hospitalization time, reduce costs, and ensure the safety of perioperative patients.