复合保温措施联合麻醉苏醒护理在腹腔镜全子宫切除术病人中的应用

Study on the application value of the composite heat preservation measures combined with anesthesia recovery care in patients treated with total laparoscopic hysterectomy

目的:探讨复合保温措施联合麻醉苏醒护理在腹腔镜全子宫切除术(TLH)病人中的应用效果。方法:选取择期行全麻下TLH的病人100例,采用掷硬币法分为对照组(n=50)和观察组(n=50)。对照组给予常规护理模式,观察组给予复合保温措施联合麻醉苏醒护理。统计围手术期指标、拔管时间、麻醉苏醒时间、麻醉复苏室(PACU)滞留时间及麻醉苏醒期并发症,对比两组麻醉诱导前5min(T_(0))、麻醉诱导后30 min(T_(1))、麻醉诱导后60 min(T _(2))、术毕(T_(3))、进入PACU 10 min(T_(4))及苏醒时(T_(5))核心体温。结果:观察组T_(1)~T_(5)各时间点核心体温均高于对照组(P<0.01)。观察组拔管时间、麻醉苏醒时间、PACU滞留时间均短于对照组(P<0.01)。观察组苏醒延迟、低体温、寒颤、躁动发生率均低于对照组(P<0.05~P<0.01)。结论:复合保温措施联合麻醉苏醒护理有利于维持TLH病人围手术期体温,促进麻醉苏醒及术后康复,减少低体温、寒颤及躁动等并发症的发生。

Objective:To explore the application effects of the composite heat preservation measures combined with anesthesia recovery care in patients treated with total paroscopic hysterectomy(TLH).Methods:A total of 100 patients scheduled by TLH under general anesthesia were selected,and divided into the control group(n=50)and observation group(n=50)using a coin toss method.The control group was given the routine nursing care,and the observation group was given the composite heat preservation measures combined with anesthesia recovery care.The perioperative indicators,extubation time,anesthesia recovery time,postanesthesia care unit(PACU)retention time and anesthesia recovery complications in two groups were analyzed.The core temperature of patients before 5 minutes of anesthesia induction(T_(0)),after 30 minutes of anesthesia induction(T_(1)),after 60 minutes of anesthesia induction(T_(2)),at the end of the operation(T_(3)),after 10 minutes of entering PACU(T_(4))and anesthesia awakes(T_(5))were compared between two groups.Results:The core body temperature of the observation group at each time point were higher than those of control group(P<0.01).The extubation time,anesthesia recovery time,and PACU retention time in the observation group were shorter than those in control group(P<0.01).The incidence rates of delayed awakening,hypothermia,shivering and restlessness in the observation group were lower than those in control group(P<0.05 to P<0.01).Conclusions:The application of composite heat preservation measures combined with anesthesia recovery care can help to maintain the perioperative body temperature of TLH patients,promote anesthesia recovery and postoperative recovery,and reduce the occurrence of complications such as hypothermia,chills and restlessness.