术中加温在腹腔镜结直肠癌根治术手术室护理中的应用研究

Application of intraoperative heating for the nursing of patients receiving laparoscopic radical resection of rectal carcinoma

目的探讨术中加温在腹腔镜结直肠癌根治术手术室护理中的应用效果。方法选取2018年1月至2019年6月江门市中心医院行腹腔镜结直肠癌根治术的320例住院患者为研究对象,分成观察组和对照组各160例,对照组采取手术室常规护理,观察组在手术室常规护理的基础上增加术中加温的护理干预。比较手术开始前、手术开始后60 min、手术结束等3个时间点,两组患者的中心体温、凝血五项及手术苏醒时间和术中寒战发生情况等指标的差异。结果手术开始前,两组患者的中心体温和凝血功能差异均无统计学意义(均P>0.05);在手术后60 min和手术结束两个时间点,观察组患者的中心体温维持正常,对照组的中心体温明显降低,观察组患者凝血功能异常例数显著低于对照组(均P<0.05);与对照组比较,观察组患者的手术苏醒时间短,术中发生寒战例数少(均P<0.05)。结论术中加温在腹腔镜结直肠癌手术室护理中的应用,能够有效维持患者的中心体温和凝血功能,缩短手术苏醒时间,减少术中寒战的发生,降低手术中的风险,有效促进患者康复,在临床具有推广价值。

Objective To explore the effect of intraoperative heating in the nursing of patients receiving radical resection of rectal carcinoma.Methods From January 2018 to June 2019,320 patients who underwent laparoscopic radical resection of colorectal cancer were selected and divided into two groups according to the sequence of admission with 160 cases in each group.The patients in control group received routine nursing.The patients in observation group were treated with the intervention of intraoperative heating based on the routine nursing in operating room.The differences of core temperature,blood coagulation,recovery time and the incidence of shivering between the two groups were compared before,after 60 min and at the end of the operation.Results There was no significant difference in core temperature and blood coagulation between two groups before the operation(P>0.05).The core temperature of patients in observation group maintained normal after 60 min and at the end of the operation.The body temperature of patients in control group decreased significantly.The incidence of shiver coagulation disorders in observation group was lower than that of control group(P<0.05).And the patients in observation group had shorter recovery time and lower incidence of(P<0.05).Conclusions The application of intraoperative heating in the nursing of patients receiving laparoscopic radical resection of colorectal cancer can effectively maintain the core temperature and normal coagulation function,which promotes the recovery of patients effectively.