保温护理对腹腔镜下行全子宫切除患者术后麻醉复苏质量的影响
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摘要
目的:探讨围手术期保温护理对全身麻醉、在腹腔镜下行全子宫切除手术患者麻醉苏醒质量的影响。方法:选取2016年3月～2019年3月收治的100例在腹腔镜下行全子宫切除手术治疗全身麻醉患者,随机分为对照组与观察组,每组50例。对照组在围手术期给予常规护理,观察组在对照组基础上予以保温护理(液体加温+充气保温毯保温),详细记录两组患者进入手术室时、麻醉诱导开始、手术开始、术中及手术结束时等不同时间点的体温变化;比较两组患者麻醉复苏指标:脑电双频指数(BIS)恢复时间、拔管时间以及有无寒战、躁动等情况发生。结果:围手术期间实验组患者的体温保持稳定,对照组患者体温明显降低,差异有显著性(P<0.01)。结论:液体加温+充气保温毯保温护理能有效防止全身麻醉下、采用腹腔镜行全子宫切除患者手术期间出现低体温,缩短拔管时间及患者脑电双频指数恢复时间,降低麻醉复苏期间患者寒战及躁动的发生率,提高麻醉复苏质量。
Objective: To investigate the effect of perioperative heat preservation nursing on anesthesia recovery quality of patients undergoing general anesthesia and total hysterectomy under laparoscope. Methods:A total of 100 patients treated with total hysterectomy under laparoscope admitted in a hospital from March 2016 to March 2019 were selected and randomly divided into control group and observation group, 50 patients in each group. The control group was given routine nursing in the perioperative period, and the observation group was given heat preservation nursing on the basis of the control group(liquid heating + inflatable insulation blanket). The temperature changes at different time points such as entering the operating room, the beginning of anesthesia induction, the beginning of the operation, during the operation and at the end of the operation were recorded in detail. The indicators of anesthesia resuscitation of two groups were compared. Results: During the perioperative period, the body temperature of the experimental group remained stable, while that of the control group decreased significantly(P<0.01). Conclusion:Liquid heating + inflatable heat preservation blanket heat preservation nursing can effectively prevent hypothermia during the operation of patients undergoing laparoscopic total hysterectomy under general anesthesia, shorten the extubation time and the recovery time of patients' EEG dual-frequency index, reduce the incidence of chills and agitation during anesthesia recovery, and improve the quality of anesthesia recovery.
Objective: To investigate the effect of perioperative heat preservation nursing on anesthesia recovery quality of patients undergoing general anesthesia and total hysterectomy under laparoscope. Methods:A total of 100 patients treated with total hysterectomy under laparoscope admitted in a hospital from March 2016 to March 2019 were selected and randomly divided into control group and observation group, 50 patients in each group. The control group was given routine nursing in the perioperative period, and the observation group was given heat preservation nursing on the basis of the control group(liquid heating + inflatable insulation blanket). The temperature changes at different time points such as entering the operating room, the beginning of anesthesia induction, the beginning of the operation, during the operation and at the end of the operation were recorded in detail. The indicators of anesthesia resuscitation of two groups were compared. Results: During the perioperative period, the body temperature of the experimental group remained stable, while that of the control group decreased significantly(P<0.01). Conclusion:Liquid heating + inflatable heat preservation blanket heat preservation nursing can effectively prevent hypothermia during the operation of patients undergoing laparoscopic total hysterectomy under general anesthesia, shorten the extubation time and the recovery time of patients' EEG dual-frequency index, reduce the incidence of chills and agitation during anesthesia recovery, and improve the quality of anesthesia recovery.
引文
1 胡剑霞,郭志娟.围手术期保温护理对全身麻醉患者麻醉苏醒质量的影响.医疗装备,2019,32(5):159～160.
2 蒲敏.体温护理在麻醉恢复室术后患者恢复质量中的临床观察.世界最新医学信息文摘,2019,19(34):291～292.
3 肖艳梅.麻醉苏醒护理联合保温护理对全身麻醉患者术中应激及苏醒躁动期的应用价值分析,2019,32(4):592～593.
4 谢兰平.全麻术后综合保温护理对患者苏醒时间和不良反应的影响.中国现代药物应用,2017,11(22):169～170.
2 蒲敏.体温护理在麻醉恢复室术后患者恢复质量中的临床观察.世界最新医学信息文摘,2019,19(34):291～292.
3 肖艳梅.麻醉苏醒护理联合保温护理对全身麻醉患者术中应激及苏醒躁动期的应用价值分析,2019,32(4):592～593.
4 谢兰平.全麻术后综合保温护理对患者苏醒时间和不良反应的影响.中国现代药物应用,2017,11(22):169～170.