CAJ | 학술논문

目的了解腰椎手术引流管拔除后体温变化的曲线,以便及时查找原因,为临床护理提供依据.方法选择符合条件的腰椎手术患者101例,观察术前1 d、手术当天至拔除引流管后3～5 d的体温变化,以及术后血、尿常规检查结果.结果将术前1 d的平均体温(基础体温)与术后3 d、引流管拔除后1 d、引流管拔除后3 d内平均体温进行比较,差异均有统计学意义(P<0.01).结论腰椎手术后及拔除引流管后,患者的体温会较术前升高,但属于正常的生理反应,护理人员应对患者及其家属加强相关的健康教育.
목적 료해요추수술인류관발제후체온변화적곡선,이편급시사조원인,위림상호리제공의거.방법 선택부합조건적요추수술환자101례,관찰술전1 d、수술당천지발제인류관후3～5 d적체온변화,이급술후혈、뇨상규검사결과.결과 장술전1 d적평균체온(기출체온)여술후3 d、인류관발제후1 d、인류관발제후3 d내평균체온진행비교,차이균유통계학의의(P<0.01).결론 요추수술후급발제인류관후,환자적체온회교술전승고,단속우정상적생리반응,호리인원응대환자급기가속가강상관적건강교육.
Objective To study the temperature changes in lumbar post-operation, which is helpful for nurses to find out abnormal behaviors of patients and the related reasons on time. Methods The temperature, blood and urine routine of 101 patients with lumbar operation were analyzed for 1 day pre-operafion, the day on operation, and 3～5 days post-operation. Results Basic temperature was compared to mean temperature of 3 days post-operation, 24 hours post-decannulation and 3 days post-decannulation. Data analysis showed significant difference among basic temperature and those mean temperatures (P<0.01). Conclusions The temperature changes after operation and decannulation are important. This issue might be stressed in the future nursing education.