复合保温护理在减少胸腔镜肺叶切除术患者寒战发生及降低术后并发症中的作用
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摘要
目的探讨复合保温护理在减少胸腔镜肺叶切除术患者寒战发生及降低术后并发症中的作用。方法选取2017年1月～2018年1月至我院行胸腔镜肺叶切除术的90例患者,随机分为复合保温组(45例)和常规保温组(45例),分别给予复合保温护理与常规保温护理,比较两组患者术中不同时间段的核心体温,寒战发生率以及术后并发症发生情况。结果手术前,两组患者核心体温相比,差异无统计学意义(P> 0.05),麻醉后,复合保温组患者核心体温显著高于常规保温组,差异有统计学意义(P <0.05);两组寒战分级间相比,差异有统计学意义(P <0.05),复合保温组患者寒战发生率低于常规保温组,差异有统计学意义(P <0.05);复合保温组患者术后并发症发生率低于常规保温组,差异有统计学意义(P <0.05)。结论给予复合保温护理后,可以有效稳定患者术中核心体温,降低寒战发生率,同时可以提高手术安全性,临床上值得推广。
Objective To explore the effect of compound heat preservation nursing on reducing shivering and complications in patients undergoing thoracoscopic lobectomy. Methods From January 2017 to January 2018,90 patients who underwent thoracoscopic lobectomy in our hospital were selected and randomly divided into two groups,compound heat preservation group(45 cases) and conventional heat preservation group(45 cases),compound heat preservation nursing and conventional heat preservation nursing were given respectively.Core temperature,incidence of shivering and complications were compared between the two groups. Results Before operation,there was no significant difference in the core temperature between the two groups(P > 0.05).After anesthesia,the core temperature of the compound heat preservation group was significantly higher than the conventional heat preservation group(P < 0.05).There was significant difference between the two groups in the grade of shivering(P < 0.05).The incidence of shivering in the compound heat preservation group was lower than the conventional heat preservation group(P < 0.05).The incidence of postoperative complications in the compound heat preservation group was lower than the conventional heat preservation group(P < 0.05). Conclusion Compound heat preservation nursing can effectively stabilize the core temperature of patients during operation,reduce shivering incidence,and improve the safety of operation.It is worth popularizing in clinic.
Objective To explore the effect of compound heat preservation nursing on reducing shivering and complications in patients undergoing thoracoscopic lobectomy. Methods From January 2017 to January 2018,90 patients who underwent thoracoscopic lobectomy in our hospital were selected and randomly divided into two groups,compound heat preservation group(45 cases) and conventional heat preservation group(45 cases),compound heat preservation nursing and conventional heat preservation nursing were given respectively.Core temperature,incidence of shivering and complications were compared between the two groups. Results Before operation,there was no significant difference in the core temperature between the two groups(P > 0.05).After anesthesia,the core temperature of the compound heat preservation group was significantly higher than the conventional heat preservation group(P < 0.05).There was significant difference between the two groups in the grade of shivering(P < 0.05).The incidence of shivering in the compound heat preservation group was lower than the conventional heat preservation group(P < 0.05).The incidence of postoperative complications in the compound heat preservation group was lower than the conventional heat preservation group(P < 0.05). Conclusion Compound heat preservation nursing can effectively stabilize the core temperature of patients during operation,reduce shivering incidence,and improve the safety of operation.It is worth popularizing in clinic.
引文
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[2]梅玲,陈玲娣,卜桂梅.浅谈低体温预防护理对手术患者康复效果的影响[J].当代医药论坛,2015,13(3):126-127.
[3]谭永琼,陈忠兰,廖安鹊.手术患者术中体温变化规律的临床研究[J].华西医学,2015,30(8):1544-1546.
[4]伍志超,王涵.七氟醚与全凭静脉麻醉对体温影响和术后寒战的发生率比较[J].西部医学,2015,13(1):99-101.
[5]陈蓓,王晓军.手术中低体温的相关因素和护理干预研究进展[J].护士进修杂志,2016,31(11):990-992.
[6]窦侠.复合保温措施对乳腺癌手术患者的保护作用分析[J].西南国防医药,2017,27(12):1335-1337.
[7]李丽,贾风菊,王梅新.护理人员实施术中低体温护理干预的现状及相关因素分析[J].中华现代护理杂志,2016,22(20):2819-2824.
[8]王丽.快速康复外科理念对肺癌患者行单操作孔全胸腔镜下肺叶切除术后并发症发生率及生存质量的影响[J].中外医学研究,2017,15(27):133-134.
[9]张敬敬,张连国,刘洪建,等.全胸腔镜肺叶切除术125例手术体会及并发症分析[J].滨州医学院学报,2016,39(1):20-22.
[10]姜云,肖美云,徐旭娟.复合保温对高危患者胸科手术中低体温影响的研究[J].护士进修杂志,2012,(16):1448-1450.
[11]吴春梅,戴靖华,张旭.复合保温措施预防胃癌根治术病人术中低体温的效果观察[J].护理研究,2017,(23):2868-2872.
[12]邱璇,杨森,宋波.复合式保温护理对冠心病搭桥手术患者术后的影响[J].中国心血管病研究,2016,6(7):572-574.
[13]唐秀芳,窦红梅.复合保温护理干预对心脏手术术后患者寒战及凝血功能的影响比[J].国际护理学杂志,2016,35(15):2057-2060.
[14]刘梅芳,杨满芳,吴凤家,等.复合保温在高危患者胸科手术中应用的效果[J].医学理论与实践,2016,22(6):804-806.
[15]周学颖,赵峰,王萃,等.复合保温对降低老年患者手术部位感染的效果分析[J].中华医院感染学杂志,2016,28(5):1113-1115.