分析复合保温护理措施在阴式全子宫切除术中的应用效果

The application effect of composite insulation nursing measures in negative total hysterectomy was analyzed

目的探究分析复合保温护理措施在阴式全子宫切除术中的应用效果。方法选取42例行阴式全子宫切除术治疗患者,依据随机数字表法分为对照组与观察组,各21例。对照组采取常规护理措施,观察组采取复合保温护理措施。比较两组患者术中各时间段的体温变化、麻醉苏醒情况及苏醒期不良反应发生情况。结果两组患者在入手术室的体温比较,差异无统计学意义(P>0.05),观察组患者麻醉用药后、麻醉后30、60、90、120 min及术毕时刻的体温均高于对照组,差异具有统计学意义(P<0.05)。观察组患者拔管时间、麻醉深度恢复时间及完全清醒时间均短于对照组,差异具有统计学意义(P<0.05)。观察组患者麻醉苏醒期的不良反应发生率4.76%明显低于对照组的28.57%,差异具有统计学意义(P<0.05)。结论在阴式全子宫切除术中应用复合保温护理措施,能够显著的改善患者术中低体温情况,并缩短患者术后麻醉清醒时间,降低苏醒期不良反应,提升麻醉清醒质量,值得临床推广与应用。

Objective To explore and analyze the application effect of compound thermal insulation nursing measures in vaginal total hysterectomy. Methods 42 patients with total vaginal hysterectomy were selected and divided into control group and observation group according to the random number table method, 21 cases in each group. The control group took routine nursing measures, and the observation group took compound insulation nursing measures. The changes of body temperature, the recovery from anesthesia and the occurrence of adverse reactions during the recovery period were compared between the two groups.Results There was no significant difference in body temperature between the two groups in the operating room(P>0.05). The body temperature of the observation group was higher than that of the control group after anesthesia, 30, 60, 90, 120 min after anesthesia and at the end of operation, and the difference was statistically significant(P<0.05). The extubation time, anesthesia depth recovery time and fully awake time of the observation group were shorter than those of the control group, and the differences were statistically significant(P<0.05). The incidence of adverse reactions in the observation group was 4.76%, which was significantly lower than 28.57% in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of composite thermal insulation nursing measures in Yin total hysterectomy can significantly improve the intraoperative hypothermia, shorten the postoperative anesthesia waking time, reduce the adverse reactions in the waking period, it is worthy of clinical promotion and application.