低体温护理在腹腔镜直肠癌根治术中的应用效果

The Application Effect of Hypothermia Nursing in Laparoscopic Radical Rectal Cancer Surgery

目的:分析低体温护理在腹腔镜直肠癌根治术中的应用效果。方法:选取2021年5月—2023年9月滨州医学院附属医院收治的76例择期腹腔镜直肠癌根治术患者为研究对象,通过随机数字表法分为对照组和观察组,各38例。对照组采用常规手术室护理,观察组在对照组基础上应用术中低体温护理。对比两组鼻咽温度、术中低体温与寒战发生率以及护理满意度。结果:术前10 min,两组鼻咽温度对比,差异无统计学意义(P>0.05);术中30、60、90 min及术后10 min,观察组鼻咽温度高于对照组,差异有统计学意义(P<0.05)。观察组术中低体温、寒战发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P=0.010)。结论:术中低体温护理能够有效维持腹腔镜直肠癌根治术患者术中体温恒定,预防低体温与寒战发生,并可提高患者的护理满意度。

Objective:To analyze the application effect of hypothermia nursing in laparoscopic radical rectal cancer surgery.Methods:Seventy-six patients with elective laparoscopic radical rectal cancer surgery admitted to the Affiliated Hospital of Binzhou Medical College from May 2021 to September 2023 were selected as the study subjects,and were divided into the control group and the observation group,each with thirty-eight cases,by the method of randomized numerical table.The control group used conventional operating room nursing,and the observation group applied intraoperative hypothermia nursing on the basis of the control group.Nasopharyngeal temperature,incidence of intraoperative hypothermia and chills,and nursing satisfaction were compared between the two groups.Results:Comparing the nasopharyngeal temperatures of the two groups 10 min before operation,the difference was not statistically significant(P>0.05);30,60,90 min during the operation and 10 min after operation,the nasopharyngeal temperature of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of intraoperative hypothermia and chills in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.010).Conclusion:Intraoperative hypothermia nursing can effectively maintain constant intraoperative body temperature in patients undergoing laparoscopic radical rectal cancer surgery,prevent hypothermia and chills from occurring,and can improve patients'nursing satisfaction.