中医护理干预对围手术期低体温的影响  

Effects of TCM Nursing Intervention on Hypothermia during Perioperative Period

作　　者：李晓艳[1] 贺宝艳[1] 

机构地区：[1]延安大学附属医院,陕西延安716000

出　　处：《西部中医药》2014年第10期160-161,共2页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察中医护理干预对围手术期患者低体温的干预效果。方法:将129例围手术期患者随机均分为观察组65例、对照组64例。对照组采用外科围手术期常规护理措施,观察组增加围手术期中医护理干预措施。对比2组患者围手术期体温变化及术后并发症发生情况。结果:入室前、手术开始时、手术结束60分钟时2组体温差异无统计学意义(P<0.05)。麻醉30分钟时、手术60分钟时、手术90分钟时、手术结束时观察组体温高于对照组(P<0.05)。观察组平均苏醒时间(36.7±9.4)分钟,并发症发生率18.46%;对照组平均苏醒时间(52.8±8.9)分钟,并发症发生率64.06%。苏醒时间观察组短于对照组(P<0.05),苏醒期并发症发生率观察组低于对照组(P<0.05)。结论:中医护理干预可减少术中低体温的发生及苏醒期并发症,缩短苏醒时间。Objective：To survey the effects of TCM nursing intervention on hypothermia of the patients during perioperative period. Methods：Altogether 129 patients were randomly allocated to 65 cases of the observation group and 64 cases of the control group. The control group accepted routine nursing measures during perioperative period, and the observation group TCM nursing intervention in perioperative period. The incidences of postoperative com-plications and the changes of body temperature in perioperative period in both groups wre compared. Results：There was no significant difference between both groups among the temperature before entering the operating room, at the beginning of the operating and in 60 minutes by the end of the surgery （P〈0.05）. The observation group was higher than the control group in the temperature in 30 minutes after anaesthesia, in 60 minutes , 90 minutes during the course of the surgery and by the end of the operation （P〈0.05）. Average reviving time of the observation group was （36.7±9.4） minutes, less than （52.8±8.9） minutes of the control group （P〈0.05）. Complication incidence of the ob-servation group was 18.46%, lower than 64.06%of the control group during the recovery period （P〈0.05）. Conclu-sion：TCM nursing intervention could lower the attack of hypothermia in the course of the surgery, reduce the com-plications in the recovery period and shorten reviving time.

关 键 词：低体温 围手术期 中医护理 

分 类 号：R473.6[医药卫生—护理学]