西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
10期
160-161
,共2页
低体温%围手术期%中医护理
低體溫%圍手術期%中醫護理
저체온%위수술기%중의호리
hypothermia%perioperative period%TCM care
目的：观察中医护理干预对围手术期患者低体温的干预效果。方法：将129例围手术期患者随机均分为观察组65例、对照组64例。对照组采用外科围手术期常规护理措施，观察组增加围手术期中医护理干预措施。对比2组患者围手术期体温变化及术后并发症发生情况。结果：入室前、手术开始时、手术结束60分钟时2组体温差异无统计学意义(P＜0.05)。麻醉30分钟时、手术60分钟时、手术90分钟时、手术结束时观察组体温高于对照组(P＜0.05)。观察组平均苏醒时间(36.7±9.4)分钟，并发症发生率18.46%；对照组平均苏醒时间(52.8±8.9)分钟，并发症发生率64.06%。苏醒时间观察组短于对照组(P＜0.05)，苏醒期并发症发生率观察组低于对照组(P＜0.05)。结论：中医护理干预可减少术中低体温的发生及苏醒期并发症，缩短苏醒时间。
目的：觀察中醫護理榦預對圍手術期患者低體溫的榦預效果。方法：將129例圍手術期患者隨機均分為觀察組65例、對照組64例。對照組採用外科圍手術期常規護理措施，觀察組增加圍手術期中醫護理榦預措施。對比2組患者圍手術期體溫變化及術後併髮癥髮生情況。結果：入室前、手術開始時、手術結束60分鐘時2組體溫差異無統計學意義(P＜0.05)。痳醉30分鐘時、手術60分鐘時、手術90分鐘時、手術結束時觀察組體溫高于對照組(P＜0.05)。觀察組平均囌醒時間(36.7±9.4)分鐘，併髮癥髮生率18.46%；對照組平均囌醒時間(52.8±8.9)分鐘，併髮癥髮生率64.06%。囌醒時間觀察組短于對照組(P＜0.05)，囌醒期併髮癥髮生率觀察組低于對照組(P＜0.05)。結論：中醫護理榦預可減少術中低體溫的髮生及囌醒期併髮癥，縮短囌醒時間。
목적：관찰중의호리간예대위수술기환자저체온적간예효과。방법：장129례위수술기환자수궤균분위관찰조65례、대조조64례。대조조채용외과위수술기상규호리조시，관찰조증가위수술기중의호리간예조시。대비2조환자위수술기체온변화급술후병발증발생정황。결과：입실전、수술개시시、수술결속60분종시2조체온차이무통계학의의(P＜0.05)。마취30분종시、수술60분종시、수술90분종시、수술결속시관찰조체온고우대조조(P＜0.05)。관찰조평균소성시간(36.7±9.4)분종，병발증발생솔18.46%；대조조평균소성시간(52.8±8.9)분종，병발증발생솔64.06%。소성시간관찰조단우대조조(P＜0.05)，소성기병발증발생솔관찰조저우대조조(P＜0.05)。결론：중의호리간예가감소술중저체온적발생급소성기병발증，축단소성시간。
Objective:To survey the effects of TCM nursing intervention on hypothermia of the patients during perioperative period. Methods:Altogether 129 patients were randomly allocated to 65 cases of the observation group and 64 cases of the control group. The control group accepted routine nursing measures during perioperative period, and the observation group TCM nursing intervention in perioperative period. The incidences of postoperative com-plications and the changes of body temperature in perioperative period in both groups wre compared. Results:There was no significant difference between both groups among the temperature before entering the operating room, at the beginning of the operating and in 60 minutes by the end of the surgery (P<0.05). The observation group was higher than the control group in the temperature in 30 minutes after anaesthesia, in 60 minutes , 90 minutes during the course of the surgery and by the end of the operation (P<0.05). Average reviving time of the observation group was (36.7±9.4) minutes, less than (52.8±8.9) minutes of the control group (P<0.05). Complication incidence of the ob-servation group was 18.46%, lower than 64.06%of the control group during the recovery period (P<0.05). Conclu-sion:TCM nursing intervention could lower the attack of hypothermia in the course of the surgery, reduce the com-plications in the recovery period and shorten reviving time.
