基于复合保温干预的手术室护理在剖宫产产妇中的应用效果

Application effect of operating room nursing based on compound thermal insulation intervention of cesarean delivery women

目的探讨基于复合保温干预的手术室护理在剖宫产产妇中的应用效果。方法选择2019年6月至2021年5月在安徽省宣城市中心医院拟行剖宫产产妇105例为研究对象,采用随机数字表法将其分为对照组52例、试验组53例。对照组采用手术室常规保温干预,试验组采用复合保温手术室干预。比较两组产妇术中体温变化、低体温与寒战发生率、热舒适度评分。比较两组手术前后凝血指标的变化。结果不同时间、分组患者鼓膜温度不同,且时间、分组存在交互作用(P<0.05)。组内比较发现,切皮时(T_(2))、胎儿娩出时(T_(3))、胎儿娩出10 min(T_(4))、胎儿娩出20 min(T_(5))、胎儿娩出30 min(T_(6))、手术结束时(T_(7)),对照组产妇鼓膜温度均低于同组入室时(T_(0))(P<0.05),T_(4)~T_(7)时,试验组产妇鼓膜温度低于同组T_(0)时(P<0.05)。麻醉时(T_(1))、T_(2)~T_(7)时,试验组产妇鼓膜体温高于对照组(P<0.05)。试验组产妇低体温、寒战比率均显著低于对照组(P<0.05)。术后试验组产妇热舒适度评分低于对照组(P<0.05)。对照组术后凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)值均高于术前(P<0.05),纤维蛋白原(FIB)低于术前(P<0.05);试验组PT、APTT、TT值均低于对照组(P<0.05),FIB值高于对照组(P<0.05)。结论基于复合保温干预的手术室护理有助于维持剖宫产产妇体温的相对稳定,减少低体温与寒战发生,增强产妇热舒适度,对凝血功能也有一定的保护作用。

Objective To explore the application effect of operating room nursing based on compound insulation intervention in temperature control of cesarean delivery.Methods A total of 105 cases of women undergoing cesarean section in Xuancheng Central Hospital,Anhui Province from June 2019 to May 2021 were selected as the research subjects,and they were divided into control group 52 cases and experimental group 53 cases by random number table method.Routine thermal insulation intervention was used in the control group and compound thermal insulation intervention was used in the experimental group.Temperature change,incidence of hypothermia and chills,and thermal comfort score were compared between the two groups during childbirth and obstetrics.The changes of coagulation indexes before and after operation were compared between the two groups.Results Tympanic membrane temperature was different at different time and group,and there was an interaction between time and group(P<0.05).Comparison within the group showed that the temperature of maternal tympanic membrane in the control group was lower than that in the same group to the operating room(T_(0))at the time of skin incision(T_(2)),fetal delivery(T_(3)),fetal delivery 10 min(T_(4)),fetal delivery 20 min(T_(5)),fetal delivery 30 min(T_(6)),and the end of operation(T_(7))(P<0.05).At T_(4)-T_(7),the temperature of maternal tympanic membrane in test group was lower than that at T_(0)(P<0.05).At(T_(1)),T_(2)-T_(7),the temperature of the tympanic membrane in experimental group were higher than that in control group(P<0.05).The rates of hypothermia and chills in the experimental group were lower than those in the control group(P<0.05).Postpartum thermal comfort score of experimental group was lower than that of control group(P<0.05).The values of prothrombin time(PT),activated partial thromboplastin time(APTT),and thrombin time(TT)in the control group were higher than those before operation(P<0.05),while fibrinogen(FIB)was lower than that before operation(P<0.05).The values of PT,APTT,and TT in experimental group were lower than those in control group(P<0.05),and FIB value was higher than that in control group(P<0.05).Conclusion Operating room nursing based on compound insulation intervention can help maintain the relative stability of maternal body temperature,reduce the incidence of hypothermia and chills,enhance maternal thermal comfort,and also have a certain protective effect on coagulation function.