加速康复外科护理对剖宫产术中低体温和寒战的影响

Effects of enhanced recovery after surgery on hypothermia and chills during cesarean section

目的 探讨加速康复外科护理对产妇术中低体温和寒战的影响。方法 选取84例剖宫产产妇,根据护理方法分为观察组(43例,加速康复外科护理)和对照组(41例,常规护理),两组均于整个围术期进行护理。比较两组寒战发生情况及不同时点核心温度。结果 观察组寒战发生率(34.88%)低于对照组(58.54%);观察组麻醉后20~50 min的核心温度均高于对照组,差异有统计学意义(P<0.05)。结论 加速康复外科护理应用于剖宫产产妇可有效降低寒战的发生率,避免术中低体温的发生。

Objective To investigate the effect of enhanced recovery after surgery on hypothermia and chills during cesarean section. Methods A total of 84 cesarean section women were selected and divided into the observation group(43 cases, enhanced recovery after surgery) and the control group(41 cases, routine nursing) according to the nursing methods. Both groups received nursing throughout the perioperative period. The occurrence of chills and core temperature at different time points were compared between the two groups. Results The incidence of chills in the observation group(34.88%) was lower than that in the control group(58.54%). The core temperature 20~50 min after anesthesia in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05). Conclusion The application of enhanced recovery after surgery nursing to cesarean section mothers can effectively reduce the incidence of chills and avoid the occurrence of intraoperative hypothermia.