预防性干预低温因素对胸外科手术患者术中的影响

The influence of hypothermia influencing factors of preventive intervention on patients undergoing thoracic surgery

目的研究预防性干预低温因素对胸外科手术患者的具体影响。方法 2018年3月01日至2018年10月31日,对高州人民医院麻醉科二区胸外科82例患者进行研究。将患者随机分为分为对照组(常规护理)和试验组(预防性干预低温影响因素),比较两组患者苏醒时间、自主呼吸恢复时间、拔管时间、认知能力恢复时间的统计学差异。比较两组患者三个时间点(手术前、手术60min、手术结束)核心温度、心率、收缩压、舒张压的统计学差异。结果试验组(6.61±0.53)min苏醒时间短于对照组(10.29±0.70)min、试验组(5.67±0.53)min自主呼吸恢复时间短于对照组(8.41±0.58)min、试验组(8.68±1.47)min拔管时间短于对照组(12.36±1.03)min、试验组(8.57±2.30)min认知能力恢复时间短于对照组(12.54±3.54)min,差异均有统计学意(P <0.05)。手术60min和手术结束时,两组患者监测到的核心体温差异均有统计学意义(P <0.05)。手术60min和手术结束时,心率、收缩压、舒张压比较,其差异均有统计学意义(P <0.05)。结论预防性干预低温因素应用于胸外科手术患者,有助于恒定其手术前后的体温,保障血液循环的稳定,并有助于促进术后恢复和自主呼吸。

Objective To study the specific influence of preventive intervention hypothermia on patients undergoing thoracic surgery.Methods From March 16,2018 to April 14,2018,a study was conducted on 82 patients in the department of thoracic surgery,second district,department of anesthesiology,gaozhou people’s hospital.Patients were randomly divided into the control group(conventional nursing)and the experimental group(low temperature influencing factors of preventive intervention),and the statistical differences between the two groups were compared in the wake time,spontaneous breathing recovery time,extubation time,and cognitive ability recovery time.The statistical differences in core temperature,heart rate,systolic blood pressure and diastolic blood pressure between the two groups at three time points(before surgery,60 minutes after surgery,and after surgery)were compared.Results The recovery time of spontaneous breathing in the experimental group(6.61±0.53)min was shorter than that in the control group(10.29±0.70)min,the recovery time of spontaneous breathing in the experimental group(5.67±0.53)min was shorter than that in the control group(8.41±0.58)min,the extubation time in the experimental group(8.68±1.47)min was shorter than that in the control group(12.36±1.03)min,and the recovery time of cognitive ability in the experimental group(8.57±2.30)min was shorter than that in the control group(12.54±3.54)min,with statistically significant differences(P<0.05).The difference in core body temperature between the two groups was statistically significant at 60 minutes after surgery and at the end of surgery(P<0.05).Heart rate,systolic blood pressure and diastolic blood pressure were significantly different at 60 minutes after surgery and at the end of surgery(P<0.05).Conclusion The application of preventive intervention of hypothermia factors in thoracic surgery patients can help to maintain their body temperature before and after surgery,ensure the stability of blood circulation,and promote postoperative recovery and spontaneous breathing.