中西医结合护理优化方案预防围手术期低体温的研究

摘要

Objective: To observe the effects of "optimized care plan of integrative Chinese and Western medicine"for hypothermic patients of orthopedic and surgical department, the changes of related indexes and the incidence of hypothermia in perioperative period. Method:The patients (except endoscope) were divided into the experiment group and the control group by random sampling and random number table, 150 cases each group. The experiment group received optimized procedure of perioperative care including TCM care and the measures of hypothermia prevention, the control group traditional work pattern. Result:The temperatures of the patients in the control group were changes obviously before and after the surgery, the difference had statistical meaning (P<0.05);the temperatures of the patients in the experiment group were unchanged before and after the operation, the difference had no statistical meaning (P>0.05); there were notable differences between both groups in the temperature at the time of anesthesia, in the surgery, in 30 minutes after the surgery and in one hour after surgery, the differences had statistical meaning (P<0.05);the experiment group was improved more significantly than the control group in the associated indexes after the surgery. Conclusion: Optimized care plan of integrative Chinese and Western medicine could lower the incidence of hypothermia during perioperative period and remarkably improve associated indexes after the surgery.%目的：观察“围手术期中西医结合护理优化方案”对骨、外科围手术期患者低体温发生率及相关指标的影响。方法：将临床骨外科开胸、腹手术患者(不包括腔镜)采用随机抽样法、随机数字表法分为试验组、对照组各150例。试验组按中医护理与预防低体温措施组成围手术期护理工作优化流程进行，对照组按传统工作模式进行护理。结果：对照组患者术前及术后体温有明显变化，差异有统计学意义(P＜0.05)；实验组患者术前及术后体温无明显变化，差异无统计学意义(P＞0.05)；2组患者在麻醉时及术中、术后30分钟、术后1小时体温有明显差异(P＜0.05)；且术后相关指标，实验组较对照组明显改善。结论：中西医结合护理优化方案能降低围手术期低体温的发生，并明显改善术后相关指标。