气压治疗仪联合恒温毯在胸外科患者手术中的应用效果研究

Practical benefits with use of barotherapy device plus thermostatic blanket during thoracic surgery

目的探讨气压治疗仪联合恒温毯在胸外科患者手术中的应用效果。方法按随机数字表法选取2017年2月至8月进行胸外科手术的59例患者为常规组,术中采用常规护理模式;选取2018年4月至10月进行胸外科手术的59例患者为干预组,在常规组的护理基础上,术中采用气压治疗仪联合恒温毯进行护理干预,对2组患者术中低体温的发生率及应激反应情况进行观察比较;比较2组患者干预前后压疮、感染及下肢深静脉血栓形成等并发症的发生率。结果干预组患者术中低体温的发生率明显低于常规组;干预后2组患者肾上腺素(AD)、去甲肾上腺素(NE)及C反应蛋白(CRP)等应激反应值均低于常规组;干预组压疮、感染及下肢深静脉血栓形成等并发症的总发生率3%(2/59)均明显低于常规组34%(20/59),差异有统计学意义(P<0.05)。结论气压治疗仪联合恒温毯在胸外科患者手术中的有效应用,可以有效改善患者的低体温及应激反应,降低压疮、感染及下肢深静脉血栓形成等并发症的发生率。

Objective To investigate the practical benefits with use of barotherapy device plus thermostatic blanket during thoracic surgery. Methods A total of 59 patients who underwent thoracic surgery between February and August, 2017, were enrolled in the control group given conventional nursing care during the operation. A total of59 patients who underwent thoracic surgery between April and October, 2018, were enrolled in the intervention group.In additional to the conventional nursing care as in the control group, the intervention group was treated with barotherapy device plus thermostatic blanket. The two groups were compared for incidence of hypothermia and stress during the operation, as well as complications such as pressure ulcers, infections and deep vein thrombosis of the low-er limbs before and after intervention. Results The incidence of intraoperative hypothermia in the intervention group was significantly lower than that in the conventional group. After intervention, the levels of stress response indicators such as adrenaline, norepinephrine and C-reactive protein were lower in the intervention group than in the control group. The overall incidence rate of complications such as pressure ulcers, infections and lower limb deep venous thrombosis in the intervention group was 3%(2/59), which was significantly lower than that in the control group(34%,20/59) with statistical difference(P<0.05). Conclusion Barotherapy device plus thermostatic blanket can effectively improve the hypothermia and stress response in patients undergoing thoracic surgery, and reduce complications such as pressure ulcers, infections and deep vein thrombosis of lower limb.