保温措施用于胸腹部肿瘤术后患者的效果观察  

Effect Observation of Insulation Measures for Patients after Thoracic and Abdominal Tumor Surgeries

作　　者：章立楠[1] 苏文敏[1] 

机构地区：[1]宁波大学医学院附属医院肿瘤胸外科,浙江宁波315020

出　　处：《解放军护理杂志》2013年第3期72-74,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：宁波大学校级课题(XYY11052)

摘　　要：目的观察保温措施用于胸腹部肿瘤术后患者的效果。方法便利抽样法选取2011年4月至2012年4月在宁波大学医学院附属医院肿瘤胸外科行择期胸腹部肿瘤根治手术的患者80例为研究对象,按随机数字表法将其分为观察组(n=40)和对照组(n=40)。观察组患者术后采取综合性保温措施,包括控制病房温度、提前被褥加温、输液加温等,对照组患者术后给予常规护理措施。记录两组患者术后6h内体温变化、寒战和术后并发症的发生情况。结果观察组患者体温均高于对照组,且寒战发生率和术后并发症的发生率均低于对照组,差异有统计学意义(P<0.05)。结论术后加强保温护理可使胸腹部肿瘤患者术后体温相对恒定,寒战和术后并发症的发生率下降。Objective To study the effect of insulation measures for patients after thoracic and abdominal tumor surgeries. Methods From April 2011 to April 2012,80 patients with selective thoracic and abdomi- nal tumor surgeries in the hospital were randomly divided into two groups：experimental group（n = 40） and control group（n= 40）. Comprehensive insulation measures including control of ward temperature, early heating of bedding and infusion heating were prepared for the experimental group. While the regular nurs- ing cares were implemented for the control group. The patients~ body temperature change within 6 hours, the shiver formation rate and the incidence of postoperative complications were recorded between the two groups. Results Compared with the control group, the body temperature of patients was significantly higher, while the shiver formation rate and the incidence of postoperative complications were significantly lower in the experimental group （P 〈0.05）. Conclusion effectively maintain normal body temperature and reduce Postoperative enhanced insulation measures can the shiver formation and postoperative complica- tions for patients after thoracic and abdominal tumor surgeries.

关 键 词：保温措施 胸腹部肿瘤手术 体温 

分 类 号：R473.6[医药卫生—护理学]