复合保温措施对腹腔镜脾脏切除患者术中低体温及术后复苏期的影响

The effects of compound heat preservation measures on intraoperative hypothermia and postoperative recovery in patients undergoing laparoscopic splenectomy

目的探讨腹腔镜下脾脏切除患者术中应用复合保温措施干预对术中低体温及术后复苏期并发症的影响。方法选取2015年1月至2019年12月于本院行腹腔镜下脾脏切除术160例患者作为研究对象,随机分为两组,每组80例。对照组实施常规保温护理,观察组在对照组基础上实施复合保温护理,比较两组不同时间点肛温及术后复苏期并发症发生情况。结果两组肛温组间比较差异有统计学意义(P<0.05),两组肛温时间、交互比较差异无统计学意义。手术30 min、60 min、90 min及手术结束时,观察组肛温均高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为13.75%,低于对照组的88.75%,差异有统计学意义(P<0.05)。结论应用复合保温措施干预能有效降低腹腔镜脾脏切除患者术中低体温及术后复苏期相关并发症发生率,值得临床推广应用。

Objective To investigate the effect of compound heat preservation measures on intraoperative hypothermia and postoperative complications in patients undergoing laparoscopic splenectomy.Methods A total of 160 patients who underwent laparoscopic splenectomy in our hospital from January 2015 to December 2019 were selected as the research subjects,they were randomly divided into two groups,with 80 patients in each group.The control group implemented routine insulation nursing,and the observation group implemented composite insulation nursing on the basis of the control group,and the occurrence of temperature and postoperative resuscitation complications at different time points were compared between the two groups.Results There was statistically significant difference in rectal temperature between the two groups of inter-group(P<0.05).There was no statistically significant difference in rectal temperature between the two groups of time and interaction.At 30 min,60 min,90 min and the end of operation,the rectal temperature of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 13.75%,which was lower than 88.75%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of composite heat preservation measures can effectively reduce the incidence of intraoperative hypothermia and postoperative resuscitation in patients with laparoscopic splenectomy,which is worthy of clinical promotion.