体温管理在老年腹部手术患者中的应用

Application of Temperature Management in Elderly Patients with Abdominal Surgery

目的探讨体温管理在老年腹部手术患者中的应用价值,对制定提高手术室体温管理标准、护理质量给予科学依据。方法选取2015年1月至2017月11月我院住院手术治疗的老年腹部外科患者115例为入组研究病例,采用简单随机化将入组患者随机分为对照组55例采用常规保温管理、观察组60例采用术中体温管理病例。结果两组患者入室、术中、手术结束时T、P、R、MAP比较P<0.05,差异具有统计学意义;术后麻醉苏醒时间(min)、肛门排气时间(min)、拔管时间(min)比较P<0.05,差异具有统计学意义。结论体温管理可保证老年腹部手术患者体温、生命体征的平稳,加快麻醉药物代谢,利于患者病情恢复,提高手术护理质量。

Objective To explore the application value of temperature management in the elderly patients with abdominal surgery,and to provide scientific basis for improving the standard of temperature management and quality of nursing in the operation room. Methods 115 cases of elderly patients receiving abdominal surgery who were hospitalized in our hospital from January 2015 to November 2017 were selected as the subjects. The patients were randomly divided into the control group（ 55 cases） treated by conventional heat preservation management and the observation group（ 60 cases） treated by the Intraoperative temperature management. Results The T,P,R and MAP between the two groups at the time of admission,operation and post-operation were compared（ P〈0. 05）. The difference was statistically significant. Postoperative anesthesia recovery time（ min）,the anal exhaust time（ min）,and the extubation time（ min） between the two groups were compared respectively（ P〈0. 05）,and the difference was statistically significant. Conclusion the temperature management can ensure the stability of body temperature and vital signs of the elderly patients with abdominal surgery,accelerate the metabolism of narcotic drugs,help promote patients＇ recovery and improve the quality of surgical nursing.