预判性加温干预在老年TURP患者麻醉苏醒期的应用及效果探析

Application and Effect of Predictive Warming Intervention in Anesthesia Recovery Period in Elderly Patients undergoing TURP

目的探究老年经尿道前列腺电切术患者于麻醉苏醒期实施预判性加温干预措施的效果。方法选取2016年8月~2018年12月在我院实施经尿道前列腺电切术的162例患者作为观察对象,分为对照组和观察组,每组81例。对照组患者接受常规护理,观察组患者实施预判性加温干预,比较两组不同时间点的体温变化及在麻醉苏醒室的停留时间。结果进入麻醉苏醒室两组体温比较,差异无统计学意义(P>0.05);气管拔除后,对照组体温为(35.88±0.27)℃,低于观察组的(36.42±0.33)℃,差异有统计学意义(P<0.05);离开麻醉苏醒室时,对照组体温为(36.12±0.29)℃,低于观察组的(36.71±0.36)℃,差异有统计学意义(P<0.05);观察组患者在麻醉苏醒室停留时间为(65.72±9.89)min,短于对照组的(75.85±14.67)min,差异有统计学意义(P<0.05)。结论老年经尿道前列腺电切术患者于麻醉苏醒期实施预判性加温干预措施能快速提高患者体温,缩短其在麻醉苏醒室停留时间,值得在临床护理中借鉴应用。

Objective To investigate the effect of premature warming intervention in elderly patients undergoing transurethral resection of prostate during anesthesia recovery. Methods A total of 162 patients who underwent transurethral resection of the prostate in our hospital from August 2016 to December 2018 were enrolled in the study. They were divided into the control group and the observation group, with 81 cases in each group. Patients in the control group received routine care, and patients in the observation group underwent pre-judgment warming intervention to compare the changes in body temperature at different time points and the residence time in the anesthesia recovery room. Results There was no significant difference in body temperature between the two groups (P>0.05). After tracheal removal, the body temperature of the control group was (35.88±0.27)℃, which was lower than that of the observation group (36.42±0.33)℃,the difference was statistically significant (P<0.05). When leaving the anesthesia recovery room, the body temperature of the control group was (36.12±0.29)℃, which was lower than that of the observation group (36.71±0.36)℃, the difference was statistically significant (P<0.05). The retention time of the observation group in the anesthesia recovery room was (65.72±9.89) min, which was shorter than that of the control group (75.85±14.67) min,the difference was statistically significant (P<0.05). Conclusion Premature warming intervention in elderly patients undergoing transurethral resection of the prostate can quickly increase the patient's temperature and shorten the stay time in the anesthesia recovery room. It is worthy of reference in clinical nursing.