预判性加温干预在老年TURP患者麻醉苏醒期的应用及效果探析
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摘要
目的探究老年经尿道前列腺电切术患者于麻醉苏醒期实施预判性加温干预措施的效果。方法选取2016年8月～2018年12月在我院实施经尿道前列腺电切术的162例患者作为观察对象,分为对照组和观察组,每组81例。对照组患者接受常规护理,观察组患者实施预判性加温干预,比较两组不同时间点的体温变化及在麻醉苏醒室的停留时间。结果进入麻醉苏醒室两组体温比较,差异无统计学意义(P>0.05);气管拔除后,对照组体温为(35.88±0.27)℃,低于观察组的(36.42±0.33)℃,差异有统计学意义(P<0.05);离开麻醉苏醒室时,对照组体温为(36.12±0.29)℃,低于观察组的(36.71±0.36)℃,差异有统计学意义(P<0.05);观察组患者在麻醉苏醒室停留时间为(65.72±9.89)min,短于对照组的(75.85±14.67)min,差异有统计学意义(P<0.05)。结论老年经尿道前列腺电切术患者于麻醉苏醒期实施预判性加温干预措施能快速提高患者体温,缩短其在麻醉苏醒室停留时间,值得在临床护理中借鉴应用。
Objective To investigate the effect of premature warming intervention in elderly patients undergoing transurethral resection of prostate during anesthesia recovery. Methods A total of 162 patients who underwent transurethral resection of the prostate in our hospital from August 2016 to December 2018 were enrolled in the study. They were divided into the control group and the observation group, with 81 cases in each group.Patients in the control group received routine care, and patients in the observation group underwent pre-judgment warming intervention to compare the changes in body temperature at different time points and the residence time in the anesthesia recovery room. Results There was no significant difference in body temperature between the two groups(P>0.05). After tracheal removal, the body temperature of the control group was(35.88 ±0.27)°C, which was lower than that of the observation group(36.42±0.33)°C,the difference was statistically significant(P<0.05). When leaving the anesthesia recovery room, the body temperature of the control group was(36.12±0.29) °C, which was lower than that of the observation group(36.71±0.36) °C,the difference was statistically significant(P<0.05). The retention time of the observation group in the anesthesia recovery room was(65.72 ±9.89) min,which was shorter than that of the control group(75.85 ±14.67) min,the difference was statistically significant(P <0.05). Conclusion Premature warming intervention in elderly patients undergoing transurethral resection of the prostate can quickly increase the patient's temperature and shorten the stay time in the anesthesia recovery room. It is worthy of reference in clinical nursing.
Objective To investigate the effect of premature warming intervention in elderly patients undergoing transurethral resection of prostate during anesthesia recovery. Methods A total of 162 patients who underwent transurethral resection of the prostate in our hospital from August 2016 to December 2018 were enrolled in the study. They were divided into the control group and the observation group, with 81 cases in each group.Patients in the control group received routine care, and patients in the observation group underwent pre-judgment warming intervention to compare the changes in body temperature at different time points and the residence time in the anesthesia recovery room. Results There was no significant difference in body temperature between the two groups(P>0.05). After tracheal removal, the body temperature of the control group was(35.88 ±0.27)°C, which was lower than that of the observation group(36.42±0.33)°C,the difference was statistically significant(P<0.05). When leaving the anesthesia recovery room, the body temperature of the control group was(36.12±0.29) °C, which was lower than that of the observation group(36.71±0.36) °C,the difference was statistically significant(P<0.05). The retention time of the observation group in the anesthesia recovery room was(65.72 ±9.89) min,which was shorter than that of the control group(75.85 ±14.67) min,the difference was statistically significant(P <0.05). Conclusion Premature warming intervention in elderly patients undergoing transurethral resection of the prostate can quickly increase the patient's temperature and shorten the stay time in the anesthesia recovery room. It is worthy of reference in clinical nursing.
引文
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[6]卢春化.应用思维导图实施无痛护理对经尿道前列腺电切术患者术后疼痛的干预效果研究[D].锦州医科大学,2018.
[7]刘冬华,刘晓辉,陈雪莉.品管圈活动降低前列腺电切患者围术期低体温发生率效果观察[J].齐鲁护理杂志,2017,10(22):105-107.
[8]丁玉辉,朱翠容.循证护理在预防经尿道前列腺电切术低体温中的应用[J].国际护理学杂志,2017,8(7):88-90.
[9]孔婧婧.综合保温护理对经尿道前列腺电切术患者术中低体温及并发症发生的预防效果[J].当代护士,2016,4(5):55-57.
[2]熊彦,包天秀,江颖.核心体温维持对老年腹腔手术患者围麻醉期的临床价值[J].中国老年学杂志,2014,34(4):1095-1096.
[3]唐佳,李冬雪,王志成.老年围术期低体温与感染的相关性研究[J].中华医院感染学杂志,2015,25(2):418-420.
[4]周忆兰,李传秀,玉香.老年患者全麻术后苏醒的护理[J].中国医药指南,2014,12(8):230-231.
[5]薛曌平,任菲,郭绍宁,等.预判性加温在老年经尿道前列腺电切术患者麻醉苏醒期的应用效果[J].中国老年学,2017,37(18):181-182.
[6]卢春化.应用思维导图实施无痛护理对经尿道前列腺电切术患者术后疼痛的干预效果研究[D].锦州医科大学,2018.
[7]刘冬华,刘晓辉,陈雪莉.品管圈活动降低前列腺电切患者围术期低体温发生率效果观察[J].齐鲁护理杂志,2017,10(22):105-107.
[8]丁玉辉,朱翠容.循证护理在预防经尿道前列腺电切术低体温中的应用[J].国际护理学杂志,2017,8(7):88-90.
[9]孔婧婧.综合保温护理对经尿道前列腺电切术患者术中低体温及并发症发生的预防效果[J].当代护士,2016,4(5):55-57.