中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
35期
4299-4301
,共3页
张增欣%范业琴%陈淑华%姜建军%马诚芳%齐冰洁
張增訢%範業琴%陳淑華%薑建軍%馬誠芳%齊冰潔
장증흔%범업금%진숙화%강건군%마성방%제빙길
肾造口,经皮%肾结石%术后低体温%护理
腎造口,經皮%腎結石%術後低體溫%護理
신조구,경피%신결석%술후저체온%호리
Nephrolithotomy,percutaneous%Complicate renal calculi%Body temperature%Nursing
目的 探讨护理干预预防复杂性肾结石患者,行经皮肾镜取石术发生低体温的方法及效果.方法 将2006年1月至2010年7月复杂性肾结石经皮肾镜取石术患者112例应用计算简单随机方法随机分为对照组和观察组,每组56例.对照组术中按常规进行护理,观察组术中在常规护理的基础上,提高室温至24～26℃,输注液体、灌洗液加温至37℃,并采取保温措施.于患者入手术室时(术前)、术毕测量并记录体温、脉搏、血压；观察术中术后寒战、躁动的发生情况.结果 观察组术毕体温(35.2±1.0)℃显著高于对照组(34.6±1.6)℃,差异具有统计学意义(t=5.7,P＜0.01)；术后收缩压、心率显著低于对照组,分别为(137.2±16.6)mm Hg和(142.2±28.8) mm Hg,(89.9±9.5)次/min和(101.9±9.5)次/min,组间差异具有统计学意义(t=4.10,3.55;P ＜0.05)；寒战、躁动发生率显著低于对照组,组间比较差异具有统计学意义(x2 =0.45,0.67;P ＜0.01).观察组术中出血量及输血率与对照组差异无统计学意义(t =0.55,0.61；P ＞0.05).结论 术前、术中积极采取有效保温措施干预,可明显降低复杂性肾结石行PCNL术患者低体温的发生.
目的 探討護理榦預預防複雜性腎結石患者,行經皮腎鏡取石術髮生低體溫的方法及效果.方法 將2006年1月至2010年7月複雜性腎結石經皮腎鏡取石術患者112例應用計算簡單隨機方法隨機分為對照組和觀察組,每組56例.對照組術中按常規進行護理,觀察組術中在常規護理的基礎上,提高室溫至24～26℃,輸註液體、灌洗液加溫至37℃,併採取保溫措施.于患者入手術室時(術前)、術畢測量併記錄體溫、脈搏、血壓；觀察術中術後寒戰、躁動的髮生情況.結果 觀察組術畢體溫(35.2±1.0)℃顯著高于對照組(34.6±1.6)℃,差異具有統計學意義(t=5.7,P＜0.01)；術後收縮壓、心率顯著低于對照組,分彆為(137.2±16.6)mm Hg和(142.2±28.8) mm Hg,(89.9±9.5)次/min和(101.9±9.5)次/min,組間差異具有統計學意義(t=4.10,3.55;P ＜0.05)；寒戰、躁動髮生率顯著低于對照組,組間比較差異具有統計學意義(x2 =0.45,0.67;P ＜0.01).觀察組術中齣血量及輸血率與對照組差異無統計學意義(t =0.55,0.61；P ＞0.05).結論 術前、術中積極採取有效保溫措施榦預,可明顯降低複雜性腎結石行PCNL術患者低體溫的髮生.
목적 탐토호리간예예방복잡성신결석환자,행경피신경취석술발생저체온적방법급효과.방법 장2006년1월지2010년7월복잡성신결석경피신경취석술환자112례응용계산간단수궤방법수궤분위대조조화관찰조,매조56례.대조조술중안상규진행호리,관찰조술중재상규호리적기출상,제고실온지24～26℃,수주액체、관세액가온지37℃,병채취보온조시.우환자입수술실시(술전)、술필측량병기록체온、맥박、혈압；관찰술중술후한전、조동적발생정황.결과 관찰조술필체온(35.2±1.0)℃현저고우대조조(34.6±1.6)℃,차이구유통계학의의(t=5.7,P＜0.01)；술후수축압、심솔현저저우대조조,분별위(137.2±16.6)mm Hg화(142.2±28.8) mm Hg,(89.9±9.5)차/min화(101.9±9.5)차/min,조간차이구유통계학의의(t=4.10,3.55;P ＜0.05)；한전、조동발생솔현저저우대조조,조간비교차이구유통계학의의(x2 =0.45,0.67;P ＜0.01).관찰조술중출혈량급수혈솔여대조조차이무통계학의의(t =0.55,0.61；P ＞0.05).결론 술전、술중적겁채취유효보온조시간예,가명현강저복잡성신결석행PCNL술환자저체온적발생.
Objective To explore the nursing methods for preventing hypothermia in patients with complicate renal calculi treated with percutaneous nephrolithotomy and its effects.Methods One hundred and twelve patients who suffered from complicate renal calculi and were treated with percutaneous nephrolithotomy from January 2006 to July 2010 were randomly divided into two groups,experiment group (n=56) and control group (n =56).The control group was administered with traditional nursing methods,while the experiment group,besides the traditional methods,were nursed with warming measures,such as room temperature elevated up to 24 - 26 degrees centigrade,infusion fluid and irrigating solutions warmed up to 37 degrees centigrade.The body temperature,pulse rate and blood pressure in both groups were measured and recorded before and after the surgery,respectively,and the results were compared.The chill and restlessness in both groups were observed.Results The body temperature in the experiment group [ (35.2 ± 1.0) degrees centigrade ] was significantly higher than that in the control group [ ( 34.6 ± 1.6) degrees centigrade ] ( t =5.7,P ＜ 0.01 ) ; heart rate [ ( 137.2 ± 16.6) mm Hg],systolic blood pressure [ (89.9 ± 9.5 ) beats/min ] in the experiment group were significantly lower than those in the control group [ ( 142.2 ± 28.8) mm Hg,( 101.9 ± 9.5 ) beats/min ] ( t =4.10,3.55 ;P ＜ 0.05 ) ; the occurahce rate of chills,restlessness in the experiment group were significantly lower than those in the control group ( x2 =0.45,0.67 ; P ＜ 0.01 ).There were no significant differences between observed blood loss and transfusion rate in both groups ( t =0.55,0.61 ; P ＞ 0.05).Conclusions Appropriate nursing interventions,such as internal and external rewarming techniques or drug administration,could prominently reduce the incidence rate of hypothermia in patients with complicate renal calculi treated with percutaneous nephrolithotripsy.
