个案追踪护理对高龄前列腺电切术患者中心体温的影响  

Effect of Case Tracking Nursing on the Body Temperature of Patients with Advanced TURP

作　　者：肖慧莲[1] 马胜利[1] 陈少兵[1] 石华[1] 黄慧芳[1] 李丽[1] 

机构地区：[1]广州市第一人民医院,广东广州510180

出　　处：《现代医院》2017年第6期922-924,共3页Modern Hospitals

基　　金：广东省科技计划项目(编号:2015A020210005)

摘　　要：目的探讨个案追踪护理对高龄前列腺电切术(TURP)患者中心体温的影响。方法将76例患者按手术时间先后分为对照组和实验组各38例,对照组按常规护理,实验组实施个案追踪护理,相同时间点监测患者入手术室、输液后30 min、麻醉前、麻醉后、灌注前、灌注后、术毕和复苏后的体温,以及寒战发生率。结果实验组在输液后30 min、麻醉前、麻醉后、灌注前、灌注后、术毕和复苏后的体温基本保持在37℃左右,麻醉后寒战发生率为26.32%,与对照组比较差异均有统计学意义(P<0.05)。结论对高龄TURP术患者进行个案追踪护理,能有效地控制中心体温,减少寒战的发生,利于患者术后康复。Objective To explore the effect of case tracking nursing on the body temperature of the elderly patients with TURP. Methods 76 patients in the operation period were divided into control group and experimental group with 38 cases in each group. The control group received routine nursing care. The experimental group received nursing case tracking at the same time, monitoring of patients in operation room, after infusion of 30 min, before and after anesthesia, the perfusion after surgery, Bi Hefu Su after the body temperature, and the incidence of shivering. Results In the experimental group af- ter infusion of 30 min, before and after anesthesia, the perfusion and the end of operation and after recovery temperature is kept at 37 degrees Celsius, and the incidence of shivering after anesthesia was 26.32% , and the control group had significant difference （P 〈 0. 05 ）. Conclusion For elderly patients with TURP surgery for the case of follow - up care, can effectively control the central temperature, reduce the occurrence of shivering, and help patients with postoperative rehabilitation.

关 键 词：高龄TURP术患者 个案追踪护理 中心体温 

分 类 号：R473[医药卫生—护理学]