无线连续性体温监测对老年股骨粗隆间骨折患者围手术期体温的影响

Effect of wireless continuous body temperature monitoring on perioperative body temperature in elderly patients with intertrochanteric fractures

目的探讨无线连续性体温监测对老年股骨粗隆间骨折患者围手术期体温的影响。方法采用便利抽样法,选取哈尔滨医科大学附属第一医院门诊2018年6月—2020年6月收治的120例老年股骨粗隆间骨折患者作为研究对象,采用随机数字表法将其分为对照组与观察组,各60例。对照组给予常规围手术期保温干预,观察组在对照组基础上加用无线连续性体温监测。对比两组围手术期温度变化、围手术期低体温以及其他并发症发生情况。结果观察组患者术中30、60 min及术后体温均较高于对照组(P<0.05)。观察组患者围手术期低体温以及其他并发症发生率均较低于对照组(P<0.05)。结论在老年股骨粗隆间骨折患者中应用无线连续性体温监测,可有效控制患者的围手术期体温变化,降低患者围手术期低体温及相关并发症发生率。

Objective To explore the effect of wireless continuous body temperature monitoring on perioperative body temperature in elderly patients with intertrochanteric fractures.Methods A total of 120 elderly patients with intertrochanteric fractures who were admitted to the Outpatient Department of the First Affiliated Hospital of Harbin Medical University from June 2018 to June 2020 were selected as the research objects by the convenient sampling method.They were divided into the control group and the observation group by the random number table method,with 60 cases in each group.The control group was given routine perioperative thermal insulation intervention,while the observation group was given wireless continuous body temperature monitoring on the basis of the control group.The changes of perioperative temperature,perioperative hypothermia and other complications were compared between the two groups.Results The body temperature of patients in the observation group was higher than that of the control group at 30,60min and after operation(P<0.05).The incidence of perioperative hypothermia and other complications in the observation group were lower than those in the control group(P<0.05).Conclusions The application of wireless continuous body temperature monitoring in elderly patients with intertrochanteric fractures can effectively control the perioperative temperature changes of patients and reduce the incidence of perioperative hypothermia and related complications.