大量灌洗液加温在经皮肾镜取石术老年患者中的应用  

Effect of warmed douche in large volume on senile patients undergoing percutaneous nephrolithotomy

作　　者：廖碧珊[1] 杨欣[1] 林晓燕[1] 薛明敏[1] 邹武[1] 

机构地区：[1]南方医科大学附属南海医院,广东南海528200

出　　处：《现代临床护理》2012年第12期15-17,共3页Modern Clinical Nursing

基　　金：2012年度佛山市医学科学技术研究立项;项目编号为2012190

摘　　要：目的探讨大量灌洗液加温在经皮肾镜取石术老年患者中的应用效果。方法将80例经皮肾镜取石术的老年患者随机分为A组和B组,每组各40例,A组在手术过程中采用常温灌洗液进行灌洗,B组将灌洗液加温到37.5℃进行灌洗。比较两组患者术中生命体征、寒颤发生程度、出血量及手术时间的差异。结果手术开始后30min(T2)、60min(T3)、术毕时(T4)A组平均动脉压(mean arterial pressure,MAP)均低于B组,差异具有统计学意义(均P<0.05);T2、T3、T4各时间点A组心率(heart rate,HR)较B组快,差异具有统计学意义(均P<0.05);B组患者发生寒颤的程度较A组患者轻,两组比较,差异具有统计学意义(均P<0.05)。结论在常规保温措施基础上,将灌洗液加温到37.5℃,对降低患者术中寒颤程度,维持术中生命体征的稳定,促进患者术后康复具有积极意义。Objective To explore the effect of warmed douche in large volume on senile patients undergoing percutaneous nephrolithotomy.Methods 80 senile patients undergoing percutaneous nephrolithotomy were equally divided into groups A and groups B.In groups A,the patients underwent lavement with douche at room temperature and in group B patients received lavement with douche when heated to 37.5℃.Pre-operative and intraoperative vital signs,shivering,hemorrhage and operative duration compared.Results The mean arterial pressures after 30 mins,60 mins operation and at the end of operation in group A were significantly lower than those in group B（P〈0.05）.The heart rates in group A at the different time points were significantly faster than those in group B（P〈0.05）.The shivering in group B was significantly more severe than that in group A（P〈0.05）.Conclusion The douche heated to 37.5℃ for percutaneous nephrolithotomy is effective for the alleviation of shivering,stable vital signs and postoperative rehabilitation.

关 键 词：经皮肾镜取石术 老年患者 体温管理 

分 类 号：R473.6[医药卫生—护理学]