五种术中低体温护理措施在肝包虫内囊摘除术中的保温效果  

Insulation Effect of Five Nursing Intervention Measures for Intraoperative Hypothermia in Hepatic Hydatid of Innerextirpation

作　　者：李丽[1] 田翠芸[1] 邵丽[1] 

机构地区：[1]新疆医科大学第一附属医院手术室,新疆乌鲁木齐830054

出　　处：《解放军护理杂志》2015年第11期10-13,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：国家自然科学基金项目(81360082)

摘　　要：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。Objective To discuss the insulation effect of five nursing intervention measures for intraoperative hypothermia in hepatic hydatid of innerextirpation.Methods By convenience sampling,192 patients were selected and divided into body wraps group,transfusion heating group,heating group of wet dressings,fluid heating group and blanket group and control group,with 32 cases each.To observe the anal temperature,nasopharyngeal temperature,and insulation effect of different measures.Results Nasopharyngal and rectal temperature declined indistinctively in body wraps group（P〈0.05）,they declined distinctively 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 distinctively 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.

关 键 词：肝包虫内囊摘除术 低体温 保温 护理 

分 类 号：R472.3[医药卫生—护理学]