CAJ | 학술논문

目的：探讨5种术中低体温干预护理措施在肝囊性棘球蚴病患者行肝包虫内囊摘除术中的保温效果。方法便利抽样选取2011年1月至2014年5月间新疆医科大学第一附属医院肝囊性棘球蚴病行肝包虫内囊摘除术的患者192例，按保温方法不同分为身体包裹组、输液加温组、湿辅料加温组、冲洗液加温组、保温毯组及对照组，每组各32例，通过监测患者术中的肛温、鼻咽温，观察各种措施的保温效果。结果身体包裹组患者鼻咽温、肛温下降不显著(P ＞0．05)，湿敷料加温组显著下降(P ＜0．01)，保温毯组手术结束时的鼻咽温、肛温较开始时升高(P ＜0．05)，输液加温组及冲洗液加温组鼻咽温、肛温下降显著(P ＜0．05)；对照组中，鼻咽温、肛温自切皮后下降明显，最终稳定于35℃左右。湿敷料、输液和冲洗液加温组三组之间鼻咽温、肛温变化无统计学差异(P ＞0．05)，但分别与保温毯组和身体包裹组的温度指标差异有统计学意义(P ＜0．05)，且保温毯组和身体包裹组之间差异有统计学意义(P ＜0．05)。结论在肝囊性棘球蚴病的手术护理中，首选保温毯保温，其次为身体包裹保温，以保持术中体温稳定，减少或减轻因术中低体温引起的并发症。
목적：탐토5충술중저체온간예호리조시재간낭성극구유병환자행간포충내낭적제술중적보온효과。방법편리추양선취2011년1월지2014년5월간신강의과대학제일부속의원간낭성극구유병행간포충내낭적제술적환자192례，안보온방법불동분위신체포과조、수액가온조、습보료가온조、충세액가온조、보온담조급대조조，매조각32례，통과감측환자술중적항온、비인온，관찰각충조시적보온효과。결과신체포과조환자비인온、항온하강불현저(P ＞0．05)，습부료가온조현저하강(P ＜0．01)，보온담조수술결속시적비인온、항온교개시시승고(P ＜0．05)，수액가온조급충세액가온조비인온、항온하강현저(P ＜0．05)；대조조중，비인온、항온자절피후하강명현，최종은정우35℃좌우。습부료、수액화충세액가온조삼조지간비인온、항온변화무통계학차이(P ＞0．05)，단분별여보온담조화신체포과조적온도지표차이유통계학의의(P ＜0．05)，차보온담조화신체포과조지간차이유통계학의의(P ＜0．05)。결론재간낭성극구유병적수술호리중，수선보온담보온，기차위신체포과보온，이보지술중체온은정，감소혹감경인술중저체온인기적병발증。
Objective To discuss the insulation effect of five nursing intervention measures for intraopera-tive hypothermia in hepatic hydatid of innerextirpation.Methods By convenience sampling,1 92 patients were selected and divided into body wraps group,transfusion heating group,heating group of wet dress-ings,fluid heating group and blanket group and control group,with 32 cases each.To observe the anal tem-perature,nasopharyngeal temperature,and insulation effect of different measures.Results Nasopharyn-gal and rectal temperature declined indistinctively in body wraps group(P >0.05),they declined distinctive-ly in heating group of wet dressings(P <0.01).Nasopharyngal and rectal temperature began to raise at end of operation in blanket group(P <0.05),the temperature were decreased obviously in transfusion heating and fluid heating group (P <0.05).In control group,nasopharyngal and rectal temperature declined distinc-tively after skin incision,and stabilized at 35℃.There was no statistical significance of the temperature change between the wet dressings group,transfusion heating and fluid heating group (P > 0.05 ),while there was statistical significance between blanket group and body wrap group (P <0.05 ).Conclusion In operation nursing of hepatic hydatid of innerextirpation,insulation blanket is the first choice for keeping body warm,and followed by body wrap to ensure the stable body tempreture,and reduce the complications caused by intraoperative hypothermia.