围术期保温护理干预对胸腔镜手术患者低体温的预防作用

Preventive Effect of Perioperative Thermal Insulation Nursing Intervention on Hypothermia in Patients Undergoing Thoracoscopic Surgery

目的:探究胸腔镜手术患者采用围术期保温护理干预对其低体温的预防作用。方法:选取2020年1-10月常德市第一人民医院收治的126例胸腔镜手术患者作为研究对象,按照信封法将患者分为对照组与研究组,各63例。给予对照组常规护理,研究组在常规护理的基础上给予围术期保温护理干预,比较两组不同时间的体温、围手术期低体温等并发症发生率及手术情况。结果:护理后,研究组术中45 min、手术完成时及麻醉苏醒时的体温均高于对照组,差异均有统计学意义(P<0.05)。研究组的心律失常、低氧血症人数与对照组比较,差异无统计学意义(P>0.05)。研究组低体温、寒战及苏醒后暴躁的发生率比对照组低,差异有统计学意义(P<0.05)。研究组的腹腔液冲洗量与对照组比较,差异无统计学意义(P>0.05)。研究组术中出血量低于对照组,麻醉清醒时间与手术时间均短于对照组,差异均有统计学意义(P<0.05)。结论:对胸腔镜手术患者行围术期保温护理能有效提高患者不同时间的体温,减少围术期低体温及相关并发症发生率,有利于手术顺利进行。

Objective:To explore the preventive effect of perioperative thermal insulation nursing intervention on the hypothermia of patients with thoracoscopic surgery.Methods:A total of 126 patients undergoing thoracoscopic surgery in Changde First People's Hospital from January 2020 to October 2020 were selected as the study subjects.According to the envelope method,the patients were divided into control group and study group,with 63 cases in each group.The control group was given routine nursing.The study group was given perioperative thermal insulation nursing intervention given on the basis of routine nursing.The body temperature,the incidence of complications such as perioperative hypothermia and the operation situation of the two groups were compared at different times.Results:After nursing,the body temperature of the study group at 45 minutes during operation,at the completion of the operation and at the time of recovery from anesthesia were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the number of arrhythmia and hypoxemia cases in the study group and the control group(P>0.05).The incidences of hypothermia,chills and irritability after waking up in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the amount of peritoneal fluid flushing between the study group and the control group(P>0.05).The intraoperative blood loss in the study group was lower than that in the control group,and the time of recovery from anesthesia and operation time were shorter than those in the control group,with statistical significance(P<0.05).Conclusion:Perioperative thermal insulation nursing for patients undergoing thoracoscopic surgery can effectively increase their body temperature at different times,reduce the incidence of perioperative hypothermia and related complications,and facilitate the smooth progress of the operation.