CAJ | 학술논문

目的观察分析前列腺等离子电切手术期患者低体温的原因,探讨预防及其处理方法.方法将我院经尿道前列腺等离子双极电切术86例患者随机分为观察组和对照组,对照组给予常规的保温方式,观察组给予在常规保温基础上静脉滴注液和灌洗液加温至35℃的综合保温方式,观察两组患者术前、术中以及术后体温及患者有无寒战等不良反应.结果观察组患者手术35 min、手术75 min体温在正常范围之内,且明显低于对照组(P＜ 0.05),在患者寒战发生方面,观察组在手术35 min、手术75 min明显低于对照组(P＜0.05).结论在常规保温基础上静脉滴注液和灌洗液加温至35℃的综合保温方式效果明显优于传统的保温方式,而且更有效维持患者体温稳定,减少并发症发生率,是前列腺等离子电切手术期患者体温护理的有效方式.
목적 관찰분석전렬선등리자전절수술기환자저체온적원인,탐토예방급기처리방법.방법 장아원경뇨도전렬선등리자쌍겁전절술86례환자수궤분위관찰조화대조조,대조조급여상규적보온방식,관찰조급여재상규보온기출상정맥적주액화관세액가온지35℃적종합보온방식,관찰량조환자술전、술중이급술후체온급환자유무한전등불량반응.결과 관찰조환자수술35 min、수술75 min체온재정상범위지내,차명현저우대조조(P＜ 0.05),재환자한전발생방면,관찰조재수술35 min、수술75 min명현저우대조조(P＜0.05).결론 재상규보온기출상정맥적주액화관세액가온지35℃적종합보온방식효과명현우우전통적보온방식,이차경유효유지환자체온은정,감소병발증발생솔,시전렬선등리자전절수술기환자체온호리적유효방식.
Objective To observe and analyze the causes,prevention and nursing measures of low body temperature in patients undergoing plasmakinetic resection of the prostate.Methods 86 patients undergoing bipolar plasmakinetic resection of the prostate were randomly divided into study group and control group,43 for each group.The control group received conventional warm-keeping method while the study group received comprehensive warm-keeping method with intravenous fluids and lavage plus temperature to 35℃ in addition to the method used in the control group.The body temperature was recorded and symptoms of chills were observed.Results The body temperature in the study group was in the normal range,which was better than the control group ( P＜ 0.05 ); the incidence of chills was lower in the study group than in the control ( P＜ 0.05 ).Conclusions The comprehensive warm-keeping method with intravenous fluid and lavage fluid heated to 35 °Con the basis of conventional insulation is more effective than the traditional warmkeeping method,and it can maintain stability of body temperature and reduce the risk of complications in patients.