腹部外科手术护理复合保温措施用于患者体温控制效果的分析

摘要

Objective To investigate the nursing effects of compound thermal insulation measures on body temperature control in patients receiving abdominal surgery.Methods A total of 280 patients who underwent elective abdominal surgery were divided into two groups according to the nursing measures:experimental group (n =111) and control group (n=169).The patients in experimental group were treated by compound thermal insulation measure,however,the patients in control group were treated by conventional thermal insulation method.The core temperature,anesthesia resuscitation time,rigor status,blood coagulation function indexes including PT,APTT,FBG,and circulatory system indexes including heart rate,systolic blood pressure and diastolic blood pressure were statistically analyzed and compared between two groups.Results The core body temperature was changed significantly with surgery process in both groups (P ＜ 0.05).There were significant differences in the changes of core body temperature on 30min,60 min,120min and at the end of operation between two groups (P ＜ 0.05).There were significant differences in anesthesia resuscitation time and rigor status between two groups (P ＜ 0.05).There were significant differences in PT,APTT and FBG on 60 min after operation and at the end of operation between two groups (P ＜ 0.05).Moreover there were significant differences in heart rate,systolic blood pressure and diastolic blood pressure on 60 min after operation and at the end of operation between two groups (P ＜ 0.05).Conclusion As compared with traditional thermal insulation method,the compound thermal insulation measure can obviously stabilize the patient's core body temperature,decrease anesthesia resuscitation time and incidence rate of rigorce,which can improve blood coagulation function indexes and keep ieart rate and blood pressure in a better condition.%目的 分析复合保温措施应用于腹部外科手术患者的护理效果.方法 将择期行腹部外科手术的280例患者按照护理措施开展情况均分为试验组(采取复合保温措施,n=111)和对照组(采取常规保温方法,n=169),比较2组患者核心温度、麻醉复苏时间和寒战发生情况、凝血功能[血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)和纤维蛋白原(FBG)]、循环系统各指标(心率、收缩压、舒张压)的差异.结果 2组患者随着手术进程其核心体温均有显著变化(P＜0.05);手术30、60、120 min,手术结束时,2组患者监测到的核心体温差异均有统计学意义(P＜0.05);2组对象麻醉复苏时间和寒战发生情况比较,差异均有统计学意义(P＜0.05);手术60 min,2组PT、APTT、FBP的差异均有统计学意义(P＜0.05),手术结束,2组PT、APTT、FBP比较,差异均有统计学意义(P＜0.05);手术60 min,2组心率、收缩压、舒张压比较,差异均有统计学意义(P＜0.05),手术结束,心率、收缩压、舒张压比较,差异均有统计学意义(P＜0.05).结论 复合保温措施相比传统保温护理方法,能显著平稳患者核心体温;减少麻醉复苏时间和寒战发生几率;应用复合保温措施的患者凝血指标状况更好;心率和血压维持状况更佳.