摘要
目的比较不同保温措施在妇科肿瘤开放手术中预防低体温应用效果。方法采用便利抽样法,选取福建医科大学附属漳州市医院2023年7月至2024年6月期间妇科病房收治的80例妇科肿瘤患者,将2023年7月—12月来院的40例患者纳入对照组,2024年1月—6月来院的40例患者纳入试验组。对照组行常规护理,试验组行常规护理的基础上进行综合保温措施。观察两组干预前后心理应激反应、生理应激反应、不同时间体温变化以及并发症发生情况。结果干预后,两组心理应激反应均降低,但试验组焦虑评分更低(P<0.05)。两组生理应激反应均提高,但试验组收缩压、舒张压以及心率低于对照组(P<0.05)。在麻醉诱导前、手术开始后30 min时,试验组体温高于对照组(P<0.05)。试验组躁动发生率为2.50%,无低体温发生,低于对照组的17.50%和10.00%(P<0.05)。结论在妇科肿瘤开放手术中,综合保温措施能够有效减轻患者心理与生理应激反应,提高患者对手术顺应性,并稳定患者体温,从而有利于降低低体温、躁动等并发症风险,促进术后恢复。
Objective To compare the effectiveness of different warming measures in preventing hypothermia during open gynecological oncology surgery.Methods Using a convenience sampling method,a total of 80 gynecological oncology patients admitted to the Department of Gynecology at Fujian Medical University Affiliated Zhangzhou Hospital from July 2023 to June 2024 were selected.Patients who came to the hospital from July 2023 to December 2023 were included in the control group,and those from January 2024 to June 2024 were included in the trialgroup,with 40 patients in each group.The control group received routine care,while the trial group received comprehensive warming measures in addition to routine care.The psychological and physiological stress responses,changes in body temperature at different times,and the occurrence of complications were observed in both groups before and after intervention.Results After intervention,the psychological stress response decreased in both groups,but the anxiety score was lower in the trial group(P<0.05).The physiological stress response increased in both groups,but the trial group had lower systolic pressure,diastolic pressure,and heart rate than the control group(P<0.05).Before anesthesia induction and 30 minutes after the start of surgery,the body temperature in the trial group was higher than that in the control group(P<0.05).The incidence of agitation in the trial group was 2.50%,with no hypothermia,which was lower than the control group’s 17.50%and 10.00%(P<0.05).Conclusions In open gynecological oncology surgery,comprehensive warming measures can effectively reduce patients’psychological and physiological stress responses,improve patients’compliance with surgery,and stabilize patients’body temperature.This is conducive to reducing the risk of complications such as hypothermia and agitation,and promoting postoperative recovery.
作者
黄荣华
王小敏
李丽梅
许丽丽
HUANG Ronghua;WANG Xiaomin;LI Limei;XU Lili(Department of Operating Room,Fujian Medical University Affiliated Zhangzhou Hospital,Zhangzhou 363000,China)
出处
《中国医药指南》
2024年第35期108-110,共3页
Guide of China Medicine
关键词
妇科肿瘤
综合保温措施
开放手术
应激反应
低体温
Gynecological tumors
Comprehensive insulation measures
Open surgery
Stress response
Low body temperature
