中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
12期
1459-1461
,共3页
护理%体温%复合保温%腹腔镜
護理%體溫%複閤保溫%腹腔鏡
호리%체온%복합보온%복강경
Nursing%Body temperature%Comprehensive heat preservation methods%Laparoscopy
目的 探讨复合保温法对腹腔镜手术患者围术期体温的影响.方法 将98例拟行腹腔镜胆囊切除术患者随机分为复合保温组(观察组)49例和常规保温组(对照组)49例,比较两组患者进入手术室后(入室后10 min,T0)、气腹前10 min(T1)、气腹后10 min(T2)、术毕(放气后5 min,T3)、术后2h(T4)的鼻温数值及术后寒战发生率.结果 入室后,T1,T2,T3,T4时观察组患者鼻温值分别为(36.65±0.30),(36.64±0.42),(36.62±0.15),(36.58±0.17)℃,各时间点与T0 (36.65±0.23)相比,差异无统计学性意义(t值分别为1.12,0.46,0.71,1.07;P ＞0.05).而对照组T2,T3,T4鼻温开始明显下降,T3,T4仍未恢复至T0水平,差异有统计学意义(t值分别为5.06,5.95,3.91；P＜0.01).T2,T3,T4时,对照组鼻温均低于观察组,差异有统计学意义(t值分别6.64,5.99,3.94；P＜0.01).观察组术后寒战发生率为12.9％,低于对照组的55.8％,差异有统计学意义(x2=20.148,P＜0.01).结论 腹腔镜手术患者应用复合保温法在一定程度上可保持体温稳定,可避免因体温降低而引起并发症,使患者平稳度过手术期.
目的 探討複閤保溫法對腹腔鏡手術患者圍術期體溫的影響.方法 將98例擬行腹腔鏡膽囊切除術患者隨機分為複閤保溫組(觀察組)49例和常規保溫組(對照組)49例,比較兩組患者進入手術室後(入室後10 min,T0)、氣腹前10 min(T1)、氣腹後10 min(T2)、術畢(放氣後5 min,T3)、術後2h(T4)的鼻溫數值及術後寒戰髮生率.結果 入室後,T1,T2,T3,T4時觀察組患者鼻溫值分彆為(36.65±0.30),(36.64±0.42),(36.62±0.15),(36.58±0.17)℃,各時間點與T0 (36.65±0.23)相比,差異無統計學性意義(t值分彆為1.12,0.46,0.71,1.07;P ＞0.05).而對照組T2,T3,T4鼻溫開始明顯下降,T3,T4仍未恢複至T0水平,差異有統計學意義(t值分彆為5.06,5.95,3.91；P＜0.01).T2,T3,T4時,對照組鼻溫均低于觀察組,差異有統計學意義(t值分彆6.64,5.99,3.94；P＜0.01).觀察組術後寒戰髮生率為12.9％,低于對照組的55.8％,差異有統計學意義(x2=20.148,P＜0.01).結論 腹腔鏡手術患者應用複閤保溫法在一定程度上可保持體溫穩定,可避免因體溫降低而引起併髮癥,使患者平穩度過手術期.
목적 탐토복합보온법대복강경수술환자위술기체온적영향.방법 장98례의행복강경담낭절제술환자수궤분위복합보온조(관찰조)49례화상규보온조(대조조)49례,비교량조환자진입수술실후(입실후10 min,T0)、기복전10 min(T1)、기복후10 min(T2)、술필(방기후5 min,T3)、술후2h(T4)적비온수치급술후한전발생솔.결과 입실후,T1,T2,T3,T4시관찰조환자비온치분별위(36.65±0.30),(36.64±0.42),(36.62±0.15),(36.58±0.17)℃,각시간점여T0 (36.65±0.23)상비,차이무통계학성의의(t치분별위1.12,0.46,0.71,1.07;P ＞0.05).이대조조T2,T3,T4비온개시명현하강,T3,T4잉미회복지T0수평,차이유통계학의의(t치분별위5.06,5.95,3.91；P＜0.01).T2,T3,T4시,대조조비온균저우관찰조,차이유통계학의의(t치분별6.64,5.99,3.94；P＜0.01).관찰조술후한전발생솔위12.9％,저우대조조적55.8％,차이유통계학의의(x2=20.148,P＜0.01).결론 복강경수술환자응용복합보온법재일정정도상가보지체온은정,가피면인체온강저이인기병발증,사환자평은도과수술기.
Objective To explore the effects of the comprehensive heat preservation methods on body temperature of patients undergoing laparoscopic surgery.Methods Totals of 98 patients who scheduled for selective laparoscopic surgery were randomly divided into experimental group (n =49) warmed with the comprehensive heat preservation methods during operation,and control group (n =49) warmed with the routine heat preservation methods during operation.The nasopharynx temperatures and the incidence of shivering were monitored at different operation time points (T0,T1,T2,T3,T4).Results No significant difference of nasopharynx temperature was found between T1 (36.65 ± 0.30) ℃,T2 (36.64 ± 0.42) ℃,T3 (36.62 ± 0.15) ℃,T4 (36.58 ±0.17)℃ and T0(36.65 ±0.23)℃ in experimental group(t =1.12,0.46,0.71,1.07,respectively;P ＞ 0.05).Compared with experimental group,the nasopharynx temperature of patients in control group was significantly lower at T2,T3,T4 (t =6.64,5.99,3.94,respectively; P ＜ 0.01).The incidence of shivering in experimental group (12.9％) was significantly lower than that in control group (55.8％) (x2 =20.148,P ＜0.01).Conclusions Comprehensive warming methods are effective in preventing complication induced by hypothermia.
