术后复合保温方案用于腹部手术患者临床作用实践研究

Practical study on the clinical effect of postoperative compound heat preservation scheme in patients undergoing abdominal surgery

目的探讨术后复合保温方案用于腹部手术患者临床作用实践研究。方法选取2021年1月至2022年1月在北京大学第三医院接受腹部手术治疗的90例患者为研究对象,经随机数字表法将其分为常规组和干预组,各45例。返回普通病房后给予常规组常规保温干预,给予干预组复合保温护理干预。观察两组术后血压、心率变化情况,观察术后低体温、寒战等并发症发生情况。结果整体分析结果显示:两组心率时间、组间、交互作用比较,差异有统计学意义(P<0.05);两组收缩压组间比较,差异有统计学意义(P<0.05)。进一步两两比较结果显示:常规组术后即刻及术后15、30 min心率有明显变化,差异有统计学意义(P<0.05);干预组术后即刻及术后15、30 min均无明显变化,差异无统计学意义(P>0.05);组间比较:干预组术后15、30 min心率、收缩压均低于常规组,差异有统计学意义(P<0.05);干预组复温时间短于常规组,术后并发症总发生率低于常规组,差异有统计学意义(P<0.05)。结论腹部手术患者术后护理中行复合保温干预,可更好地保证患者返回病房后体温维持良好状态,减轻应激反应,有效预防低体温及相关并发症的发生。

Objective To explore the practical study on the clinical effect of postoperative compound heat preservation scheme in patients undergoing abdominal surgery.Methods A total of 90 patients who received abdominal surgery in Peking University Third Hospital from January 2021 to January 2022 were selected as subjects,they were divided into routine group and intervention group by random number table method,with 45 cases in each group.After returning to the common ward,the conventional group was given routine insulation intervention,and the intervention group was given conrentiond insulation intervention.The changes of blood pressure and heart rate in the two groups were observed,and the occurrence of postoperative complications such as hypothermia and shivering were observed.Results The overall analysis results showed that there were statistically significant differences in heart rate time,intergroup and interaction between the two groups(P<0.05),and the comparison of the interaction between the two groups of systolic blood pressure groups and the difference was statistically significant(P<0.05).Further pairwise comparison showed that the heart rate and systolic blood pressure of the conventional group had significant changes immediately after surgery,and 15,30 min after surgery,the differences were statistically significant(P<0.05);there were no significant changes in the intervention group immediately after surgery,and 15,30 min after surgery,the differences were not statistically significant(P>0.05);comparison between groups:the intervention group had lower heart rate,and 15,30 min after operation than the conventional group,and the differences were statistically significant(P<0.05).The rewarming time of the intervention group was shorter than that of the conventional group,and the total incidence of postoperative complications was also lower,and the differences were statistically significant(P<0.05).Conclusion Combined thermal insulation intervention in postoperative care of patients with abdominal surgery can better ensure that the patient’s body temperature is maintained in a good state after returning to the ward,reduce stress response,and effectively prevent the occurrence of hypothermia and related complications.