手术室保温护理对颅脑手术患者术中应激反应及满意度的影响
|
摘要
目的研究手术室保温护理干预对颅脑手术患者术中应激反应与满意度的影响。方法选取2015-10-2016-12义马煤业集团公司总医院收治的62例颅脑手术病例,分为研究组(n=31)与对照组(n=31),对照组采取常规护理措施,研究组在此基础上采取保温干预法,对比2组术中应激反应情况、术后不良反应与护理满意度。结果术后2组HR、E、AD、CRP、NE水平均有所降低,研究组HR(68.27±5.06)次/min,E(0.03±0.01)μg/mL,AD(101.57±22.24)pmol/L,CRP(84.65±13.24)ng/L,NE(158.19±30.85)pmol/L,分别低于对照组的HR(78.54±4.92)次/min、E(0.10±0.02)μg/mL、AD(182.95±24.61)pmol/L、CRP(107.93±2.64)ng/L、NE(170.86±34.29)pmol/L(P<0.05);研究组手术部位感染率、高血压发生率及心律失常率均明显低于对照组(3.23%vs 19.35%;0 vs 12.90%;0 vs 12.90%,P<0.05);研究组护理满意率亦明显高于对照组(96.77%vs 77.42%,P<0.05)。结论在颅脑手术过程中采取手术室保温护理措施,可有效改善术中应激情况,减少术后不良反应,提高患者护理满意度。
Objective To study the effect of heat-preservation nursing in operating room on intraoperative stress response and satisfaction of patients undergoing craniocerebral operation.Methods A total of 62 patients undergoing craniocerebral operation who were admitted to the hospital during the period from October 2015 to December 2016 were enrolled in the study.According to different nursing care in the operating room,they were divided into the study group(n=31) and the control group(n=31).The control group was given conventional nursing,and on this basis,the study group was given heat-preservation nursing.The intraoperative stress response,postoperative adverse reactions and nursing satisfaction were compared between the 2 groups.Results The levels of HR,E,AD,CRP and NE in both groups decreased after operation.The HR,E,AD,CRP and NE in study group[(68.27±5.06) beats/min,(0.03±0.01) μg/mL,(101.57±22.24) pmol/L,(84.65±13.24) ng/L,(158.19±30.85) pmol/L]were significantly lower than those in the control group[(78.54±4.92) beats/min,(0.10±0.02) μg/mL,(182.95±24.61) pmol/L,(107.93±2.64) ng/L,(170.86±34.29) pmol/L](P<0.05).The incidence rates of infection at the operative site,hypertension and abnormal HR in the study group were significantly lower than those in the control group(3.23% vs 19.35%,0.00% vs 12.90%,0.00% vs 12.90%)(P<0.05),while the satisfaction rate was significantly higher than that of the control group(96.77% vs 77.42%)(P<0.05).Conclusion The application of heat-preservation nursing in the operating room during craniocerebral operation can effectively improve the situation of intraoperative stress,decrease postoperative adverse reactions,and improve the satisfaction of patients with nursing.
Objective To study the effect of heat-preservation nursing in operating room on intraoperative stress response and satisfaction of patients undergoing craniocerebral operation.Methods A total of 62 patients undergoing craniocerebral operation who were admitted to the hospital during the period from October 2015 to December 2016 were enrolled in the study.According to different nursing care in the operating room,they were divided into the study group(n=31) and the control group(n=31).The control group was given conventional nursing,and on this basis,the study group was given heat-preservation nursing.The intraoperative stress response,postoperative adverse reactions and nursing satisfaction were compared between the 2 groups.Results The levels of HR,E,AD,CRP and NE in both groups decreased after operation.The HR,E,AD,CRP and NE in study group[(68.27±5.06) beats/min,(0.03±0.01) μg/mL,(101.57±22.24) pmol/L,(84.65±13.24) ng/L,(158.19±30.85) pmol/L]were significantly lower than those in the control group[(78.54±4.92) beats/min,(0.10±0.02) μg/mL,(182.95±24.61) pmol/L,(107.93±2.64) ng/L,(170.86±34.29) pmol/L](P<0.05).The incidence rates of infection at the operative site,hypertension and abnormal HR in the study group were significantly lower than those in the control group(3.23% vs 19.35%,0.00% vs 12.90%,0.00% vs 12.90%)(P<0.05),while the satisfaction rate was significantly higher than that of the control group(96.77% vs 77.42%)(P<0.05).Conclusion The application of heat-preservation nursing in the operating room during craniocerebral operation can effectively improve the situation of intraoperative stress,decrease postoperative adverse reactions,and improve the satisfaction of patients with nursing.
引文
[1] 纪雪红,韦爱芬,刘晓芬,等.颅脑手术治疗患者术中自体血液回输与异体输血对其临床疗效影响及感染研究[J].中华医院感染学杂志,2017,27(1):124-127.
[2] 宋敏,程琳芝,吴晓英,等.根因分析法在颅脑手术后颅内感染控制中的应用[J].中华医院感染学杂志,2016,26(20):4 681-4 683.
[3] LIU D,EBBINI E S.Real-Time 2-D Temperature Imaging Using Ultrasound[J].IEEE Trans Biomed Eng,2010,57(1):12-16.
[4] SUGITA N,OSA T,MITSUISHI M,et al.Analysis and estimation of cutting-temperature distribution during end milling in relation to orthopedic surgery[J].Med Eng Phys,2009,31(1):101-107.
[5] GLATZ T,BOLDT J,TIMME S,et al.Impact of intraoperative temperature and humidity on healing of intestinal anastomoses[J].Int J Colorectal Dis,2014,29(4):469-475.
[6] GOBOLOS L,PHILIPP A,UGOCSAI P,et al.Reliabi-lity of different body temperature measurement sites during aortic surgery[J].Perfusion,2014,29(1):75-81.
[7] SEVERENS N M W,VAN MARKEN LICHTENBELT W D,FRIJNS A J H,et al.A model to predict patient temperature during cardiac surgery[J].Phys Med Biol,2007,52(17):5 131-5 145.
[8] LUEHR M,BACHET J,MOHRA F W,et al.Modern temperature management in aortic arch surgery:The dilemma of moderate hypothermia[J].Eur J Cardiothorac Surg,2014,45(1):27-39.
[9] VANDEWALL B J M,DRAAISMA W A,VANDERKAAIJ,R T,et al.The value of inflammation markers and body temperature in acute diverticulitis[J].Colorectal Dis,2013,15(5):621-626.
[10] 毋云利,吴媛.开颅手术患者围术期预见性护理的应用价值[J].河北医药,2016,38(15):2 373-2 375.
[11] 李华.颅脑损伤手术病人术中体温变化以及相关因素分析[J].护理研究,2017,31(10):1 269-1 271.
[12] 陈幼华,罗晋卿,蔡永林,等.颅脑手术患者医院感染危险因素[J].中国感染控制杂志,2016,15(1):34-37.
[13] SCHWARZ M,KRUEGER M W,BUSCH H J,et al.Model-Based Assessment of Tissue Perfusion and Temperature in Deep Hypothermic Patients[J].IEEE Trans Biomed Eng,2010,57(7):1 577-1 586.
[14] OZER A B,TOSUN F,DEMIREL I,et al.The effects of anesthetic technique and ambient temperature on thermoregulation in lower extremity surgery[J].J Anesth,2013,27(4):528-534.
[15] KIM Y S,LEE J Y,YANG S C,et al.Comparative study of the influence of room-temperature and warmed fluid irrigation on body temperature in arthroscopic shoulder surgery[J].Arthroscopy,2009,25(1):24-29.
[16] INABA K,BERG R,BARMPARAS G,et al.Prospective evaluation of ambient operating room temperature on the core temperature of injured patients undergoing emergent surgery[J].J Trauma Acute Care Surg,2012,73(6):1 478-1 483.
[17] 高宏,韩云,王艳艳,等.颅脑外伤气管切开术后肺部感染风险分析及护理对策[J].山西医药杂志,2017,46(15):1 887-1 889.
[18] 丁晴,周珊珊,金平等.Solitaire AB支架机械取栓治疗急性脑梗死的围手术期护理体会[J].安徽医学,2018,39(2):226-228.
[19] BELWAY D,TEE R,NATHAN H J,et al.Tempera-ture management and monitoring practices during adult cardiac surgery under cardiopulmonary bypass:results of a Canadian national survey[J].Perfusion,2011,26(5):395-400.
[20] OPATZ O,TRIPPEL T,LOCHNER A,et al.Temporal and spatial dispersion of human body temperature during deep hypothermia[J].Br J Anaesth,2013,111(5):768-775.
[21] GROCOTT H P,NEWMAN M F.Temperature measurement during cardiac surgery (letter;comment)[J].Can J Anaesth,1998,45(11):1 133-1 134.
[22] 赵梅,郭海波.手术治疗颅内静脉窦血栓形成合并脑出血所致脑疝患者的护理[J].血栓与止血学,2016,22(6):704-706.
[23] 袁巧玲.复杂性脑血管病复合手术治疗的围手术期护理[J].中国微侵袭神经外科杂志,2017,22(6):287-288.
[24] OHTORI S,INOUE G,KOSHI T,et al.Long-term intravenous administration of antibiotics for lumbar spinal surgery prolongs the duration of hospital stay and time to normalize body temperature after surgery[J].Spine,2009,33(26):2 935-2 937.
[25] JIN Y H,TIAN J H,SUN M,et al.A systematic review of randomised controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries[J].J Clin Nurs,2011,20(3):305-316.
[26] GOON S,SEAGRAVE M,VERNON J,et al.Maintaining body temperature during surgery[J].Anaesthesia,2007,62(2):198-199.
[27] 孙翠,王栋梅,马吉芬,等.系统护理模式对改善微创手术脑出血患者神经功能及减少并发症的意义[J].现代中西医结合杂志,2017,26(34):3 882-3 884.
[28] 王萍,常海霞,刘刚,等.优质护理服务模式对脑血管病造影及介入术后并发症的影响[J].实用临床医药杂志,2017,21(2):128-129.
[29] 张玲,孙林,周毅.颅脑手术后消化道应激性溃疡的预防护理方法及效果观察[J].实用临床医药杂志,2017,21(10):40-42.
[30] 王桂兰,郭红桃.规范化护理模式对脑胶质瘤手术患者的心理及应激状况的影响分析[J].实用临床医药杂志,2017,21(8):199-201.
[31] 唐敏,樊朝凤.脑血管介入术后穿刺部位应用 Perclose ProGlid血管缝合器疗效观察及护理[J].成都医学院学报,2016,11(2):278-280.
[32] 李菲.重型颅脑损伤患者围术期的护理观察与对策[J].中华全科医学,2017,15(4):712-714.
[33] 张佳佳,徐希德,金红珍.Orem自护理论运用于颅脑肿瘤术患者护理中的效果[J].现代中西医结合杂志,2017,26(13):1 471-1 473.
[34] 贾春燕,牛瑞芳,王凯,等.临床护理路径管理在重型颅脑损伤术后康复护理中的应用[J].中国临床研究,2016,29(11):1 567-1 569.
[35] 陈永霞.护理干预在脑动脉瘤介入手术中的应用[J].中国肿瘤临床与康复,2016,23(4):506-508.
[36] FAKIN R,ZIMPFER D,SODECK G H,et al.Influence of temperature management on neurocognitive function in biological aortic valve replacement.A prospective randomized trial[J].J Cardiovasc Surg (Torino),2012,53(1):107-112.
[37] GOGENUR I,OCAK U,ALTUNPINAR O,et al.Disturbances in melatonin,cortisol and core body temperature rhythms after major surgery[J].World J Surg,2007,31(2):290-298.
[38] 曹雅清,修晓青,庞恒元,等.对脑肿瘤患者实施围手术期系统化护理管理的效果研究[J].护理管理杂志,2016,16(6):455-456.
[39] 焦丽娜,薛苗苗,吴建衡.综合护理对微创脑出血手术患者术后神经功能恢复及生活质量的影响[J].实用临床医药杂志,2016,20(4):69-71.
[40] 郑艳.脑胶质瘤患者术后应用医护一体化护理措施对患者的疗效及生活质量的影响[J].实用临床医药杂志,2016,20(18):89-91.
[41] 周明星,李进,袁军.罗哌卡因复合帕瑞昔布钠应用于颅脑肿瘤切除术患者麻醉中的效果[J].实用癌症杂志,2017,32(8):1 240-1 243.
[42] 晏慧琳,卢小楠.手术室护理路径在重型颅脑损伤患者中的应用效果[J].实用心脑肺血管病杂志,2017,25(7):158-160.
[43] 蔚玲,付昱,王向阳.脑动脉瘤夹闭术中体温干预对病人术后脑血管痉挛发生的影响[J].护理研究,2017,31(19):2 413-2 415.
[44] SUOMINEN P K,STAYER S,WANG W,et al.The effect of temperature correction of blood gas values on the accuracy of end-tidal carbon dioxide monitoring in children after cardiac surgery[J].ASAIO J,2007,53(6):670-674.
[45] SHUKRY M,MATTHEWS L,DEARMENDI A J,et al.Does the covering of children during induction of anesthesia have an effect on body temperature at the end of surgery?[J].J Clin Anesth,2012,24(2):116-120.
[46] KLINGER A,BUCHFELDER M,SCHLAFFER S M,et al.Infection surveillance in transsphenoidal pituitary surgery-Comparison of lipopolysaccharide-binding-protein,interleukin 6,C-reactive protein,white blood cell count,erythrocyte sedimentation rate and body temperature[J].Acta Neurochir (Wien),2013,155(11):2 177-2 182.
[47] 赵文君.损伤控制性理论在手术室护理管理中的应用[J].实用临床医药杂志,2016,20(14):190-191.
[48] 李丽,裴华莲,邵丽,等.手术室护理人员实施围术期保温护理现状的质性研究[J].中华现代护理杂志,2017,23(14):1 863-1 867.
[49] 李燕玲,贺倩,王燕,等.人性化手术室护理对轻度脑外伤手术患者焦虑抑郁情绪的影响[J].国际精神病学杂志,2017,44(5):947-949.
[50] CHON J Y,LEE J Y.The effects of surgery type and duration of tourniquet inflation on body temperature[J].J Int Med Res,2012,40(1):358-365.
[51] PEREZ PROTTO S,SESSLER D I,REYNOLDS L F,et al.Circulating-water garment or the combination of a circulating-water mattress and forced-air cover to maintain core temperature during major upper-abdominal surgery[J].Br J Anaesth,2010,105(4):466-470.
[52] SEVERENS N M,VAN-MARKEN-LICHTENBELT W D,VAN-LEEUWEN G M,et al.Effect of forced-air heaters on perfusion and temperature distribution during and after open-heart surgery[J].Eur J Cardiothorac Surg,2007,32(6):888-895.
[53] 付秀荣,张彩虹,董妞,等.不同保温措施应用于脑瘤手术患者中的效果分析[J].中国实用护理杂志,2017,33(26):2 007-2 011.
[54] CHI L,HUANG Y,MAO Y,et al.Tail Vein Infusion of Adipose-Derived Mesenchymal Stem Cell Alleviated Inflammatory Response and Improved Blood Brain Barrier Condition by Suppressing Endoplasmic Reticulum Stress in a Middle Cerebral Artery Occlusion Rat Model[J].Med Sci Monit,2018,24:3 946-3 957.DOI:10.12659/MSM.907096.
[55] REZNIKOV R,BAMBICO F R,DIWAN M,et al.Prefrontal Cortex Deep Brain Stimulation Improves Fear and Anxiety-Like Behavior and Reduces Basolateral Amygdala Activity in a Preclinical Model of Posttraumatic Stress Disorder[J].Neuropsychopharmacology,2018,43(5):1 099-1 106.DOI:10.1038/npp.2017.207.
[56] JIANG L,HU M,LU Y,et al.The protective effects of dexmedetomidine on ischemic brain injury:A meta-analysis[J].J Clin Anesth,2017,40:25-32.DOI:10.1016/j.jclinane.2017.04.003.
[57] HINDS L R,CHUN L E,WOODRUFF E R,et al.Dynamic glucocorticoid-dependent regulation of Sgk1 expression in oligodendrocytes of adult male rat brain by acute stress and time of day[J].PLoS One,2017,12(4):e0175075.DOI:10.1371/journal.pone.0175075.
[58] IVIC V,BLA?ETIC S,LABAK I,et al.Ovariectomy and chronic stress lead toward leptin resistance in the satiety centers and insulin resistance in the hippocampus of Sprague-Dawley rats[J].Croat Med J,2016,57(2):194-206.
[59] BEHLING C S,ANDRADE A S,PUTTI J S,et al.Treatment of oxidative stress in brain of ovariectomized rats with omega-3 and lipoic acid[J].Mol Nutr Food Res,2015,59(12):2 547-2 555.DOI:10.1002/mnfr.201500338.
[60] IWASAKI M,EDMONDSON M,SAKAMOTO A,et al.Anesthesia,surgical stress,and "long-term" outcomes[J].Acta AnaesthesiolTaiwan,2015,53(3):99-104.DOI:10.1016/j.aat.2015.07.002.
[61] CEREJEIRA J,BATISTA P,NOGUEIRA V,et al.The stress response to surgery and postoperative delirium:evidence of hypothalamic-pituitary-adrenal axis hyperresponsiveness and decreased suppression of the GH/IGF-1 Axis[J].J Geriatr Psychiatry Neurol,2013,26(3):185-194.DOI:10.1177/0891988713495449.
[62] ZADA G,TIROSH A,HUANG A P,et al.The postoperative cortisol stress response following transsphenoidal pituitary surgery:a potential screening method for assessing preserved pituitary function[J].Pituitary,2013,16(3):319-325.DOI:10.1007/s11102-012-0423-7.
[63] JUNG C,INDER W J.Management of adrenal insufficiency during the stress of medical illness and surgery[J].Med J Aust,2008,188(7):409-413.
[64] NGUYEN K T,DEAK T,WILL M J,et al.Timecourse and corticosterone sensitivity of the brain,pituitary,and serum interleukin-1beta protein response to acute stress[J].Brain Res,2000,859(2):193-201.
[65] SMITH M A,MAKINO S,KVETNANSKY R,et al.Stress and glucocorticoids affect the expression of brain-derived neurotrophic factor and neurotrophin-3 mRNAs in the hippocampus[J].J Neurosci,1995,15(3 Pt 1):1 768-1 777.
[2] 宋敏,程琳芝,吴晓英,等.根因分析法在颅脑手术后颅内感染控制中的应用[J].中华医院感染学杂志,2016,26(20):4 681-4 683.
[3] LIU D,EBBINI E S.Real-Time 2-D Temperature Imaging Using Ultrasound[J].IEEE Trans Biomed Eng,2010,57(1):12-16.
[4] SUGITA N,OSA T,MITSUISHI M,et al.Analysis and estimation of cutting-temperature distribution during end milling in relation to orthopedic surgery[J].Med Eng Phys,2009,31(1):101-107.
[5] GLATZ T,BOLDT J,TIMME S,et al.Impact of intraoperative temperature and humidity on healing of intestinal anastomoses[J].Int J Colorectal Dis,2014,29(4):469-475.
[6] GOBOLOS L,PHILIPP A,UGOCSAI P,et al.Reliabi-lity of different body temperature measurement sites during aortic surgery[J].Perfusion,2014,29(1):75-81.
[7] SEVERENS N M W,VAN MARKEN LICHTENBELT W D,FRIJNS A J H,et al.A model to predict patient temperature during cardiac surgery[J].Phys Med Biol,2007,52(17):5 131-5 145.
[8] LUEHR M,BACHET J,MOHRA F W,et al.Modern temperature management in aortic arch surgery:The dilemma of moderate hypothermia[J].Eur J Cardiothorac Surg,2014,45(1):27-39.
[9] VANDEWALL B J M,DRAAISMA W A,VANDERKAAIJ,R T,et al.The value of inflammation markers and body temperature in acute diverticulitis[J].Colorectal Dis,2013,15(5):621-626.
[10] 毋云利,吴媛.开颅手术患者围术期预见性护理的应用价值[J].河北医药,2016,38(15):2 373-2 375.
[11] 李华.颅脑损伤手术病人术中体温变化以及相关因素分析[J].护理研究,2017,31(10):1 269-1 271.
[12] 陈幼华,罗晋卿,蔡永林,等.颅脑手术患者医院感染危险因素[J].中国感染控制杂志,2016,15(1):34-37.
[13] SCHWARZ M,KRUEGER M W,BUSCH H J,et al.Model-Based Assessment of Tissue Perfusion and Temperature in Deep Hypothermic Patients[J].IEEE Trans Biomed Eng,2010,57(7):1 577-1 586.
[14] OZER A B,TOSUN F,DEMIREL I,et al.The effects of anesthetic technique and ambient temperature on thermoregulation in lower extremity surgery[J].J Anesth,2013,27(4):528-534.
[15] KIM Y S,LEE J Y,YANG S C,et al.Comparative study of the influence of room-temperature and warmed fluid irrigation on body temperature in arthroscopic shoulder surgery[J].Arthroscopy,2009,25(1):24-29.
[16] INABA K,BERG R,BARMPARAS G,et al.Prospective evaluation of ambient operating room temperature on the core temperature of injured patients undergoing emergent surgery[J].J Trauma Acute Care Surg,2012,73(6):1 478-1 483.
[17] 高宏,韩云,王艳艳,等.颅脑外伤气管切开术后肺部感染风险分析及护理对策[J].山西医药杂志,2017,46(15):1 887-1 889.
[18] 丁晴,周珊珊,金平等.Solitaire AB支架机械取栓治疗急性脑梗死的围手术期护理体会[J].安徽医学,2018,39(2):226-228.
[19] BELWAY D,TEE R,NATHAN H J,et al.Tempera-ture management and monitoring practices during adult cardiac surgery under cardiopulmonary bypass:results of a Canadian national survey[J].Perfusion,2011,26(5):395-400.
[20] OPATZ O,TRIPPEL T,LOCHNER A,et al.Temporal and spatial dispersion of human body temperature during deep hypothermia[J].Br J Anaesth,2013,111(5):768-775.
[21] GROCOTT H P,NEWMAN M F.Temperature measurement during cardiac surgery (letter;comment)[J].Can J Anaesth,1998,45(11):1 133-1 134.
[22] 赵梅,郭海波.手术治疗颅内静脉窦血栓形成合并脑出血所致脑疝患者的护理[J].血栓与止血学,2016,22(6):704-706.
[23] 袁巧玲.复杂性脑血管病复合手术治疗的围手术期护理[J].中国微侵袭神经外科杂志,2017,22(6):287-288.
[24] OHTORI S,INOUE G,KOSHI T,et al.Long-term intravenous administration of antibiotics for lumbar spinal surgery prolongs the duration of hospital stay and time to normalize body temperature after surgery[J].Spine,2009,33(26):2 935-2 937.
[25] JIN Y H,TIAN J H,SUN M,et al.A systematic review of randomised controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries[J].J Clin Nurs,2011,20(3):305-316.
[26] GOON S,SEAGRAVE M,VERNON J,et al.Maintaining body temperature during surgery[J].Anaesthesia,2007,62(2):198-199.
[27] 孙翠,王栋梅,马吉芬,等.系统护理模式对改善微创手术脑出血患者神经功能及减少并发症的意义[J].现代中西医结合杂志,2017,26(34):3 882-3 884.
[28] 王萍,常海霞,刘刚,等.优质护理服务模式对脑血管病造影及介入术后并发症的影响[J].实用临床医药杂志,2017,21(2):128-129.
[29] 张玲,孙林,周毅.颅脑手术后消化道应激性溃疡的预防护理方法及效果观察[J].实用临床医药杂志,2017,21(10):40-42.
[30] 王桂兰,郭红桃.规范化护理模式对脑胶质瘤手术患者的心理及应激状况的影响分析[J].实用临床医药杂志,2017,21(8):199-201.
[31] 唐敏,樊朝凤.脑血管介入术后穿刺部位应用 Perclose ProGlid血管缝合器疗效观察及护理[J].成都医学院学报,2016,11(2):278-280.
[32] 李菲.重型颅脑损伤患者围术期的护理观察与对策[J].中华全科医学,2017,15(4):712-714.
[33] 张佳佳,徐希德,金红珍.Orem自护理论运用于颅脑肿瘤术患者护理中的效果[J].现代中西医结合杂志,2017,26(13):1 471-1 473.
[34] 贾春燕,牛瑞芳,王凯,等.临床护理路径管理在重型颅脑损伤术后康复护理中的应用[J].中国临床研究,2016,29(11):1 567-1 569.
[35] 陈永霞.护理干预在脑动脉瘤介入手术中的应用[J].中国肿瘤临床与康复,2016,23(4):506-508.
[36] FAKIN R,ZIMPFER D,SODECK G H,et al.Influence of temperature management on neurocognitive function in biological aortic valve replacement.A prospective randomized trial[J].J Cardiovasc Surg (Torino),2012,53(1):107-112.
[37] GOGENUR I,OCAK U,ALTUNPINAR O,et al.Disturbances in melatonin,cortisol and core body temperature rhythms after major surgery[J].World J Surg,2007,31(2):290-298.
[38] 曹雅清,修晓青,庞恒元,等.对脑肿瘤患者实施围手术期系统化护理管理的效果研究[J].护理管理杂志,2016,16(6):455-456.
[39] 焦丽娜,薛苗苗,吴建衡.综合护理对微创脑出血手术患者术后神经功能恢复及生活质量的影响[J].实用临床医药杂志,2016,20(4):69-71.
[40] 郑艳.脑胶质瘤患者术后应用医护一体化护理措施对患者的疗效及生活质量的影响[J].实用临床医药杂志,2016,20(18):89-91.
[41] 周明星,李进,袁军.罗哌卡因复合帕瑞昔布钠应用于颅脑肿瘤切除术患者麻醉中的效果[J].实用癌症杂志,2017,32(8):1 240-1 243.
[42] 晏慧琳,卢小楠.手术室护理路径在重型颅脑损伤患者中的应用效果[J].实用心脑肺血管病杂志,2017,25(7):158-160.
[43] 蔚玲,付昱,王向阳.脑动脉瘤夹闭术中体温干预对病人术后脑血管痉挛发生的影响[J].护理研究,2017,31(19):2 413-2 415.
[44] SUOMINEN P K,STAYER S,WANG W,et al.The effect of temperature correction of blood gas values on the accuracy of end-tidal carbon dioxide monitoring in children after cardiac surgery[J].ASAIO J,2007,53(6):670-674.
[45] SHUKRY M,MATTHEWS L,DEARMENDI A J,et al.Does the covering of children during induction of anesthesia have an effect on body temperature at the end of surgery?[J].J Clin Anesth,2012,24(2):116-120.
[46] KLINGER A,BUCHFELDER M,SCHLAFFER S M,et al.Infection surveillance in transsphenoidal pituitary surgery-Comparison of lipopolysaccharide-binding-protein,interleukin 6,C-reactive protein,white blood cell count,erythrocyte sedimentation rate and body temperature[J].Acta Neurochir (Wien),2013,155(11):2 177-2 182.
[47] 赵文君.损伤控制性理论在手术室护理管理中的应用[J].实用临床医药杂志,2016,20(14):190-191.
[48] 李丽,裴华莲,邵丽,等.手术室护理人员实施围术期保温护理现状的质性研究[J].中华现代护理杂志,2017,23(14):1 863-1 867.
[49] 李燕玲,贺倩,王燕,等.人性化手术室护理对轻度脑外伤手术患者焦虑抑郁情绪的影响[J].国际精神病学杂志,2017,44(5):947-949.
[50] CHON J Y,LEE J Y.The effects of surgery type and duration of tourniquet inflation on body temperature[J].J Int Med Res,2012,40(1):358-365.
[51] PEREZ PROTTO S,SESSLER D I,REYNOLDS L F,et al.Circulating-water garment or the combination of a circulating-water mattress and forced-air cover to maintain core temperature during major upper-abdominal surgery[J].Br J Anaesth,2010,105(4):466-470.
[52] SEVERENS N M,VAN-MARKEN-LICHTENBELT W D,VAN-LEEUWEN G M,et al.Effect of forced-air heaters on perfusion and temperature distribution during and after open-heart surgery[J].Eur J Cardiothorac Surg,2007,32(6):888-895.
[53] 付秀荣,张彩虹,董妞,等.不同保温措施应用于脑瘤手术患者中的效果分析[J].中国实用护理杂志,2017,33(26):2 007-2 011.
[54] CHI L,HUANG Y,MAO Y,et al.Tail Vein Infusion of Adipose-Derived Mesenchymal Stem Cell Alleviated Inflammatory Response and Improved Blood Brain Barrier Condition by Suppressing Endoplasmic Reticulum Stress in a Middle Cerebral Artery Occlusion Rat Model[J].Med Sci Monit,2018,24:3 946-3 957.DOI:10.12659/MSM.907096.
[55] REZNIKOV R,BAMBICO F R,DIWAN M,et al.Prefrontal Cortex Deep Brain Stimulation Improves Fear and Anxiety-Like Behavior and Reduces Basolateral Amygdala Activity in a Preclinical Model of Posttraumatic Stress Disorder[J].Neuropsychopharmacology,2018,43(5):1 099-1 106.DOI:10.1038/npp.2017.207.
[56] JIANG L,HU M,LU Y,et al.The protective effects of dexmedetomidine on ischemic brain injury:A meta-analysis[J].J Clin Anesth,2017,40:25-32.DOI:10.1016/j.jclinane.2017.04.003.
[57] HINDS L R,CHUN L E,WOODRUFF E R,et al.Dynamic glucocorticoid-dependent regulation of Sgk1 expression in oligodendrocytes of adult male rat brain by acute stress and time of day[J].PLoS One,2017,12(4):e0175075.DOI:10.1371/journal.pone.0175075.
[58] IVIC V,BLA?ETIC S,LABAK I,et al.Ovariectomy and chronic stress lead toward leptin resistance in the satiety centers and insulin resistance in the hippocampus of Sprague-Dawley rats[J].Croat Med J,2016,57(2):194-206.
[59] BEHLING C S,ANDRADE A S,PUTTI J S,et al.Treatment of oxidative stress in brain of ovariectomized rats with omega-3 and lipoic acid[J].Mol Nutr Food Res,2015,59(12):2 547-2 555.DOI:10.1002/mnfr.201500338.
[60] IWASAKI M,EDMONDSON M,SAKAMOTO A,et al.Anesthesia,surgical stress,and "long-term" outcomes[J].Acta AnaesthesiolTaiwan,2015,53(3):99-104.DOI:10.1016/j.aat.2015.07.002.
[61] CEREJEIRA J,BATISTA P,NOGUEIRA V,et al.The stress response to surgery and postoperative delirium:evidence of hypothalamic-pituitary-adrenal axis hyperresponsiveness and decreased suppression of the GH/IGF-1 Axis[J].J Geriatr Psychiatry Neurol,2013,26(3):185-194.DOI:10.1177/0891988713495449.
[62] ZADA G,TIROSH A,HUANG A P,et al.The postoperative cortisol stress response following transsphenoidal pituitary surgery:a potential screening method for assessing preserved pituitary function[J].Pituitary,2013,16(3):319-325.DOI:10.1007/s11102-012-0423-7.
[63] JUNG C,INDER W J.Management of adrenal insufficiency during the stress of medical illness and surgery[J].Med J Aust,2008,188(7):409-413.
[64] NGUYEN K T,DEAK T,WILL M J,et al.Timecourse and corticosterone sensitivity of the brain,pituitary,and serum interleukin-1beta protein response to acute stress[J].Brain Res,2000,859(2):193-201.
[65] SMITH M A,MAKINO S,KVETNANSKY R,et al.Stress and glucocorticoids affect the expression of brain-derived neurotrophic factor and neurotrophin-3 mRNAs in the hippocampus[J].J Neurosci,1995,15(3 Pt 1):1 768-1 777.