目的：通过护理措施干预4℃冷灌注液对宫腔镜电切术患者体温的影响,预防低体温发生。方法60例宫腔镜电切术治疗异常子宫出血患者,通过调高室温至26~28℃,静脉输液的温度为37℃,对患者保暖,增加盖被,必要时使用充气升温毯护理干预措施。观察对照患者术前、术中、术后30 min、术后60 min的体温变化、四肢发冷、寒战、出血量等情况,术后给患者发放满意度调查表,评估患者满意度。结果通过护理干预措施,患者术中体温平均下降0.5℃,术后30 min体温平均下降0.4℃,术后60 min体温平均下降0.3℃,无低体温发生,四肢发冷28.3%、寒战率15.0%、患者满意度为90.0%。结论经过护理干预4℃冷灌注液对体温的影响,有效预防低体温发生,既减少手术并发症和促进术后康复,又提高患者舒适度和满意度,值得临床推广。%Objective To intervene the influence of 4℃ cold perfusate on body temperature of hysteroscopic electrocision patients, in order to prevent hypothermia.MethodsThere were 60 patients with abnormal uterine bleeding receiving hysteroscopic electrocision. They received nursing intervention measures as raising room temperature to 26~28℃, intravenous infusion at 37℃, keeping warm, covering blanket, and gas heating blanket in essential condition. Body temperature change, cold limbs, shiver, bleeding volume were observed and compared before operation, during operation, and 30 and 60 min after operation. Patients received satisfaction questionnaire as well for evaluation.ResultsAfter receiving nursing intervention measures, patients had average decreased body temperature as 0.5℃ during operation, 0.4℃ in 30 min after operation, and 0.3℃ in 60 min after operation. There was no case with hypothermia. Cold limbs rate was 28.3%, shiver rate was 15.0%, and patients’ satisfaction degree was 90.0%.ConclusionImplement of nursing intervention can intervene the influence of 4℃ cold perfusate on body temperature, and effectively prevent hypothermia. This method can reduce complications, accelerate postoperative recovery, and improve comfort degree and satisfaction degree. It is worthy of clinical promotion.
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