探讨干预性护理在手术室患者低体温中的预防价值

Exploration of Preventive Value of Interventional Nursing in the Hypothermia of Operating Room Patients

目的探析探讨干预性护理在手术室患者低体温的预防价值。方法选取94例采取腹腔镜根治术结肠癌患者,采用数字随机表法均分为对照组与观察组,每组各47例。对照组采取常规护理,观察组在对照组基础上给予干预性保温护理。比较两组患者术中鼻咽温度、心率、血压及围术期情况。结果观察组在麻醉后、手术30 min及术毕时间点患者鼻咽温度分别高于对照组[(36.56±0.17)℃vs (36.48±0.19)℃,P=0.034;(36.49±0.26)℃vs (36.21±0.23)℃,P=0.000;(36.44±0.33)℃vs (35.96±0.45)℃,P=0.000];观察组在麻醉后、手术30 min及术毕时间点患者心率、血压均分别显著低于对照组(P <0.05);观察组体温(4.26%)、寒颤(10.64%)、躁动发生率(8.51%)均显著低于对照组的17.02%、27.66%、23.40%(P <0.05)。结论干预性护理可明显改善手术室低温患者围术期心率、血压情况,并降低体温、寒颤与躁动发生率。

Objective To explore the preventive value of interventional nursing in hypothermia of operating room patients. Methods 94 patients with colon cancer who underwent laparoscopic radical resection were selected and divided into control group and observation group according to the random number table method, with 47 cases in each group. Control group was given routine nursing, and observation group was given interventional thermal insulation nursing on the basis of control group. The intraoperative nasopharyngeal temperature, heart rate, blood pressure and perioperative situation were compared between the two groups. Results The nasopharyngeal temperature in observation group was higher than that in control group after anesthesia, after 30 min of operation and at the end of operation [(36.56±0.17) ℃ vs(36.48±0.19) ℃, P=0.034;(36.49±0.26) ℃ vs( 36.21±0.23) ℃, P=0.000;(36.44±0.33) ℃ vs(35.96±0.45) ℃, P =0.000]. The heart rate and blood pressure in observation group were significantly lower than those in control group after anesthesia, after 30 min of operation and at the end of operation(P <0.05). The incidence rate of hypothermia, chills and agitation were 4.26%, 10.64% and 8.51% in observation group, which were significantly lower than those in control group with 17.02%, 27.66% and 23.40%(P <0.05). Conclusion Interventional nursing can significantly improve the perioperative heart rate and blood pressure, and reduce the incidence rates of hypothermia, chills and agitation in patients with hypothermia in operating room.