摘要
目的:探讨复合保温在腹腔镜右半肝切除术中的效果。方法:选取85例腹腔镜右半肝切除手术患者为研究对象,根据保温措施不同分为对照组(n=42)与观察组(n=43)。对照组采用常规保温措施;观察组采用复合保温措施。比较两组患者术中不同时段体温、血压、心率、出血量、出入量;术中寒战、躁动等发生情况;患者焦虑、恐惧等情绪变化及对护理的满意度。结果:观察组术中不同时间段体温、血压、心率、出血量、出入量优于对照组(P<0.05);寒战、躁动发生率低于对照组(P<0.05);减少焦虑、恐惧及护理满意度优于对照组(P<0.05)。结论:复合保温措施更有利于维持腹腔镜右半肝切除手术患者的体温恒定,可预防术中低体温的发生及低体温引起的一系列并发症,能够有效提升护理满意度,有临床推广应用价值。
Objective:To compare the effects of compound heat preservation measures in laparoscopic right hemihepatectomy.Methods:85 patients who underwent laparoscopic right hemihepatectomy were selected as the research object and divided into the control group(n=42)and the study group(n=43)according to different thermal insulation measure.The control group was treated with conventional heat preservation and the study group was treated with compound heat preservation.The body temperature,blood pressure,heart rate,volume of blood loss,intake and output of liquid,rigors,restlessness,anxiety,fear,other emotional changes to patients and care full degree of meaning during the operation were compared between the two groups.Results:The study group was superior to the control group in maintaining constant body temperature,blood pressure,heart rate,volume of blood loss,intake and output of liquid(P<0.05),and prevention of rigors and restlessness in the study group were lower than those in the control group(P<0.05).The reducing anxiety,fear and improving satisfaction degree in the study group were better than those in the control group(P<0.05).Conclusion:Compound heat preservation is beneficial to maintain the constant body temperature of patients undergoing laparoscopic right hemihepatectomy and can prevent intraoperative hypothermia and a series of complications caused by hypothermia,able to effectively enhance satisfaction with care in the operating room,which has the value of clinical application.
作者
王小梅
任翠容
任思兰
邓琴
季一飞
WAN Xiao-mei;REN Cui-rong;REN Si-lan;DENG Qin;JI Yi-fei(Outpatient Operating Room,Nanchong Central Hospital,Second Clinical Medical College of North Sichuan Medical University,Nanchong 637000,Sichuan,China;Department of Neurology,Nanchong Central Hospital,Second Clinical Medical College of North Sichuan Medical University,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2021年第11期1524-1527,共4页
Journal of North Sichuan Medical College
基金
国家自然科学基金(81870966)。
关键词
复合保温
右半肝切除术
腹腔镜
低体温
Compound heat preservation
Right hemihepatectomy
Laparoscopy
Hypothermia
