摘要
目的 探讨胸外科全麻手术中充气式加热毯联合电热毯的综合性保温护理的临床效果。方法 选取2022年1月—2023年1月医院胸外科收治的102例拟行手术治疗的患者为研究对象,按照组间基线资料均衡可比的原则将患者分为观察组与对照组,每组51例。对照组患者在围术期行常规护理,观察组患者在常规护理的基础上增加充气式加温毯、电热毯,实施综合性保温护理。比较两组患者围术期体温变化、手术基本情况、生理应激反应、血流动力学、凝血功能指标及手术并发症发生率。结果 观察组患者在手术开始5 min、手术进行30 min、手术结束5 min时鼻咽温度高于对照组,组间差异有统计学意义(P组间<0.05)。两组患者手术时间、手术出血量、手术室室温对比差异无统计学意义(P>0.05);但观察组患者麻醉复苏室停留时间、住院时间短于对照组,差异有统计学意义(P<0.05)。术前两组患者肾上腺素(AD)、去甲肾上腺素(NE)对比差异无统计学意义(P>0.05);术后观察组患者AD、NE指标水平低于对照组,差异有统计学意义(P<0.05)。术前两组患者的血流动力学指标对比差异无统计学意义(P>0.05);术后观察组患者血压、心率指标低于对照组,差异有统计学意义(P<0.05)。术前两组患者纤维蛋白原(FIB)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)对比差异无统计学意义(P>0.05);术后观察组APTT、TT指标水平低于对照组,差异有统计学意义(P<0.05)。观察组手术躁动、感染、低体温等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 应用充气式加热毯联合电热毯的综合性保温护理可在手术期间维持患者的体温水平,可降低应激反应对患者手术、术后康复的影响,继而减少麻醉复苏室停留时间、术后康复时间,并且还能使患者凝血功能、血流动力学指标在围术期维持相对稳定的状态,对降低躁动等�
Objective To explore the clinical effect of comprehensive thermal insulation care by using inflatable heating blanket combined with electric blanket in thoracic surgery under general anesthesia.Methods To select 102 patients who were admitted to the thoracic surgery department of the hospital from January 2022 to January 2023 and were scheduled for surgical treatment as the research subjects,the patients were divided into the observation group and the control group according to the principle of balanced and comparable baseline data between groups,with 51 patients in each group.The control group received routine care during the perioperative period,while the observation group added inflatable heating blankets and electric blankets and implemented comprehensive heat preservation care on the basis of routine care.The perioperative body temperature changes,basic surgical conditions,physiological stress response,hemodynamics,coagulation function indicators and the incidence of surgical complications were compared between the two groups of patients.Results The nasopharyngeal temperature of the patients in the observation group was higher than that of the control group at 5minutes after the operation,30 minutes after the operation,and 5 minutes after the operation,and the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference in the operation time,surgical blood loss,and operating room room temperature between the two groups(P>0.05);however,the stay time in the anesthesia recovery room and hospitalization time of the patients in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in adrenaline(AD) and norepinephrine(NE) between the two groups of patients before surgery(P>0.05).After surgery,the AD and NE levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05
作者
鲍冬梅
许淑华
夏燕
谢燕
朱兰
BAO Dongmei;XU Shuhua;XIA Yan;XIE Yan;ZHU Lan(Dongtai Hospital of Traditional Chinese Medicine,Dongtai,224200,China)
出处
《护理实践与研究》
2023年第24期3664-3670,共7页
Nursing Practice and Research
基金
盐城市医学会科技成果(编号:盐医科鉴[2017]第046号)。
关键词
充气式加温毯
电热毯
综合性保温护理
胸外科手术
温度变化
Inflatable heating blanket
Electric blanket
Comprehensive insulation care
Thoracic surgery
Temperature variation
