集束化保温干预维持腹腔镜下胆囊切除患者术中体温的效果

Effect of cluster thermal insulation intervention on maintaining intraoperative body temperature in patients undergoing laparoscopic cholecystectomy

目的探讨集束化保温干预对腹腔镜下胆囊切除术患者术中体温变化的影响。方法选择2019年7月—2021年8月在安徽医科大学附属宿州医院治疗的94例行腹腔镜下胆囊切除术患者,应用随机数字表法将患者分为对照组和观察组,每组各47例。两组均实施常规手术室护理干预,观察组在此基础上实施集束化保温干预。观察两组患者手术开始、手术30 min、手术结束时的体温变化情况,比较两组的术后苏醒时间、术后6 h的肩部疼痛程度及术后6、12、24 h的躁动评分情况。结果手术30 min、手术结束时观察组的体温高于对照组,差异有统计学意义(P<0.05)。观察组的术后苏醒时间短于对照组,肩部疼痛程度低于对照组,差异有统计学意义(P<0.05)。观察组术后各时间段躁动评分低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下胆囊切除术患者术中实施集束化保温干预措施有助于稳定术中体温水平,缩短术后麻醉苏醒时间,减轻患者术后肩部疼痛及躁动程度。

Objective To investigate the effect of cluster thermal insulation intervention on intraoperative body temperature change in patients undergoing laparoscopic cholecystectomy.Methods A total of 94 patients who underwent laparoscopic cholecystectomy in Suzhou Hospital Affiliated to Anhui Medical University from July 2019 to August 2021 were selected.The patients were divided into the control group and the observation group by the random number table method,with 47 cases in each group.Both groups were given routine operating room nursing intervention,and the observation group was given cluster thermal insulation intervention on this basis.The temperature changes of patients in the two groups were observed at the beginning,30th minute and the end of the operation.The postoperative recovery time,the degree of shoulder pain at 6 hours after surgery,and the restlessness score at 6,12,and 24 hours after surgery were compared between the two groups.Results The body temperature of the observation group was higher than that of the control group at the 30th minute after the operation and at the end of the operation,and the difference were statistically significant(P<0.05).The postoperative recovery time of the observation group was shorter than that of the control group and the degree of shoulder pain was lower than that of the control group,and the differences were statistically significant(P<0.05).The scores of restlessness in the observation group were lower than those in the control group in each time period after operation,and the differences were statistically significant(P<0.05).Conclusions Cluster thermal insulation intervention in patients undergoing laparoscopic cholecystectomy is helpful to stabilize intraoperative body temperature,shorten postoperative anesthesia recovery time and reduce postoperative shoulder pain and agitation.