保温护理干预预防直肠癌根治术患者术中低体温的研究

Study of heat preservation nursing intervention in preveting intraoperative hypothermia of patients with rectal cancer radical surgery

目的分析研究保温护理干预预防直肠癌根治术患者术中低体温的价值。方法 78例进行直肠癌根治术的患者,根据护理方法不同分为对照组与观察组,每组39例。对照组患者术中予以常规护理干预模式,观察组患者术中予以保温护理干预模式,利用多功能体温检测仪对两组患者的体温进行实时测量,准确记录两组患者术中30、60、90、120 min的体温数值,并进行比较。结果两组患者术中30 min的体温数值比较差异无统计学意义(P>0.05);但观察组患者术中60、90、120 min的体温数值分别为(36.1±0.3)、(36.2±0.6)、(36.5±0.6)℃,均明显高于同期对照组患者的(35.6±0.2)、(35.4±0.2)、(35.1±0.1)℃,差异具有统计学意义(P<0.05)。结论术中对于直肠癌根治术患者采取有效的保温护理干预能够有效保持患者的体温,具有较高的临床推广价值。

Objective To analyze the value of heat preservation nursing intervention in preveting intraoperative hypothermia of patients with rectal cancer radical surgery. Methods A total of 78 patients with rectal cancer radical surgery were divided by different nursing methods into control group and observation group, with 39 cases in each group. The control group received conventional nursing intervention, and the observation group received heat preservation nursing intervention. The body temperature of two groups was measured in real time by multi-function body temperature detector. The temperature values at 30, 60, 90 and 120 min after operation were accurately recorded and compared. Results Both groups had no statistically significant difference in body temperature of 30 min after operation （P〉0.05）. The observation group had body temperature of 60, 90 and 120 min after operation respectively as （36.1 ± 0.3）, （36.2± 0.6） and （36.5± 0.6）℃ , which were all obviously higher than （35.6± 0.2）, （35.4 ± 0.2） and （35.1± 0.1）℃ in the control group of the same period, and their difference was statistically significant （P〈0.05）. Conclusion Heat preservation nursing intervention can effectively maintain the patient＇s body temperature of patients with rectal cancer radical surgery, and it contains higher clinical promotion and promotion value.