前列腺等离子电切手术期患者体温观察  

Observation of body temperature in patients undergoing plasmakinetic resection of the prostate

作　　者：伍淑燕[1] 

机构地区：[1]江门市中心医院窥镜手术中心,529000

出　　处：《国际医药卫生导报》2012年第13期1962-1964,共3页International Medicine and Health Guidance News

摘　　要：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35min、手术75min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35min、手术75min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。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 underg,3ing 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~C 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℃on 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.

关 键 词：前列腺等离子电切术 体温 灌洗液 临床观察 

分 类 号：R473.6[医药卫生—护理学]