术前体重控制与术中体温保护对择期腹腔镜子宫全切患者麻醉清醒时间及预后的影响

Effect of Preoperative Weight Control and Intraoperative Temperature Protection on Anaesthesia Waking Time and Prognosis of Patients Undergoing Elective Laparoscopic Total Hysterectomy

目的:探讨术前体重控制与术中体温保护对择期腹腔镜子宫全切患者麻醉清醒时间及预后的影响。方法:选择2018年1月-2019年12月在本院妇科接受腹腔镜子宫全切手术的患者80例,使用随机数字表法将其分为对照组和研究组,每组40例。对照组行手术常规护理,研究组行术前体重控制联合低温防护,比较两组患者应激反应、术后麻醉苏醒、术后机体康复情况。结果:研究组患者术后机体康复情况各指标评价均优于对照组(P<0.05)。研究组患者T1、T2时的应激反应指标均低于对照组(P<0.05)。研究组患者手术后麻醉苏醒时间、气管拔管时间均短于对照组(P<0.05),躁动率、寒战率均低于对照组(P<0.05)。结论:接受腹腔镜子宫全切手术的患者术前进行体重控制,可有效加快术后机体康复速度,同时联合低温防护,有效降低术中应激,缩短术后麻醉苏醒时间、气管拔管时间,受患者个体化因素、手术因素影响,需给予全面护理,确保患者手术安全性。

Objective:To investigate the effects of preoperative weight control and intraoperative temperature protection on anesthesia waking time and prognosis of patients undergoing elective laparoscopic total hysterectomy.Method:A total of 80 patients who received total laparoscopic hysterectomy in the department of gynecology of our hospital from January 2018 to December 2019 were selected.They were divided into control group and study group by random number table method,40 cases in each group.The control group received routine nursing,and the research group received preoperative weight control combined with hypothermia protection.The stress response,postoperative anesthesia recovery and postoperative recovery of patients in the two groups were compared.Result:All indexes of postoperative recovery in the study group were better than those in the control group(P<0.05).The stress response indexes of the study group at T1 and T2 were lower than those of the control group(P<0.05).The anesthesia recovery time and tracheal extubation time in the study group were shorter than those in the control group(P<0.05),the restlessness rate and shivering rate were lower than those in the control group(P<0.05).Conclusion:In patients undergoing laparoscopic uterine total resection surgery on preoperative weight control,which can effectively speed up the postoperative body recovery,joint low temperature protection at the same time,effectively reduce the intraoperative stress,reducing postoperative anesthetic revival time,tracheal extubation time,affected by patients individual factors,operation,should give comprehensive nursing,ensure patient safety operation.