摘要
目的探讨预保温联合术中保温模式在妇科腹腔镜根治性手术中的应用效果。方法选取80例行腹腔镜根治性手术的妇科肿瘤患者,根据护理方法不同将其分为干预组与对照组,各40例。干预组采用预保温联合术中保温模式,对照组采用常规护理。两组患者均连续护理至手术结束,并连续观察7 d。对比两组手术指标、围术期体温及并发症发生情况。结果干预组患者的手术指标(手术时间、术后麻醉消散时间、肛门排气与首次活动时间、术后出血量)相较于对照组明显更低(P<0.05)。两组患者入手术室时体温无明显差异(P>0.05)。干预组患者的围术期体温相较于对照组明显更高(P<0.05)。干预组患者并发症发生率(10%)显著低于对照组(30%)(P<0.05)。结论预保温联合术中保温模式应用于妇科腹腔镜根治性手术中,有利于患者术后恢复、体温的升高与维持,同时在改善手术指标与降低并发症发生率上效果显著,值得推广。
Objective To explore the application effect of pre-heat preservation combined with intraoperative heat preservation mode in gynecological laparoscopic radical surgery.Methods 80 patients with gynecological tumor patients undergoing laparoscopic radical surgery were selected and divided into intervention group and control group according to different nursing methods,with 40 cases in each group.The intervention group was treated with pre insulation combined with intraoperative insulation,and the control group was treated with routine nursing.The patients in both groups were continuously cared until the end of the operation,and were observed for 7 days.The operative indexes,perioperative temperature and complications were compared between the two groups.Results The surgical indicators of patients in the intervention group(surgical time,postoperative anesthesia dissipation time,anal exhaust and first activity time,postoperative blood loss)were significantly lower than those in the control group(P<0.05).There was no significant difference in body temperature between the two groups when patients entered the operating room(P>0.05).The perioperative body temperature of the intervention group was significantly higher than that of the control group(P<0.05).The incidence of complications in intervention group(10%)was significantly lower than that in control group(30%)(P<0.05).Conclusion The application of pre-thermal insulation combined with intraoperative thermal insulation mode in gynecological laparoscopic radical surgery is beneficial to postoperative recovery of patients,the increase and maintenance of body temperature,and has a significant effect on improving surgical indicators and reducing the incidence of complications,which is worthy of promotion.
作者
杨娟
崔晓花
侯丽莉
Yang Juan;Cui Xiaohua;Hou Lili(Department of Anesthesiology,Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University(Nanjing Maternal and Child Health Hospital),Nanjing 210000,China)
出处
《实用妇科内分泌电子杂志》
2021年第18期21-24,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
恶性肿瘤
预保温
术中保温
腹腔镜根治性手术
Malignant tumor
Pre-heat preservation
Intraoperative heat preservation
Laparoscopic radical surgery
