手术室积极保暖干预措施对剖宫产术后手术源性低体温的影响  

The effect of active warming intervention in the operation room on maternal hypothermia after planned cesarean

作　　者：刘媛[1] 徐宏涛[2] 胡英[1] 刘苏惠 Liu Yuan;Xu Hongtao;Hu Ying;Liu Suhui(Operation Room,Lishui Central Hospital,Lishui 323000,China;Department of Gastroenterological Surgery,Lishui Central Hospital)

机构地区：[1]丽水市中心医院手术室,323000 [2]丽水市中心医院胃肠科

出　　处：《中国医院统计》2018年第5期376-380,共5页Chinese Journal of Hospital Statistics

基　　金：浙江省中医药科技计划项目(2017ZB099)

摘　　要：目的探讨手术室积极保暖干预措施对剖宫产术后手术源性低体温的影响。方法选择2017年1月至2017年6月在我院择期剖宫产的健康产妇120名,随机分为观察组62例和对照组58例。对照组的产妇采用常规的保暖措施,观察组产妇则由手术室护士进行输注加温液体以及强制性空气变暖毯联用的积极保暖护理措施。比较两组产妇的体核温度,低体温发生率,颤抖程度,温度舒适性以及新生儿的Apgar评分。结果观察组产妇的体核温度、温度舒适性高于对照组(P<0.01);观察组产妇的低体温发生率、颤抖程度低于对照组(P<0.01);两组新生儿的Apgar评分没有统计学差异(P>0.05)。结论手术室积极保暖干预措施可以有效改善产妇剖宫产术后手术源性低体温的影响,但是对于新生儿Apgar评分的影响不明显。Objective To explore the effect of active warming intervention in the operation room on maternal hypothermia after planned cesarean.Methods Healthy expectant mothers in the hospital from January 2017 to June 2017 were randomly divided into the observation group with 62 patients and the control group with 58.The parturients in the control group adopted the routine heating measures.In the observation group,the parturients were treated with active warming intervention including warmed IV fluids and forced air warming blankets by the nurses of the operation room.The temperature of body nucleus,the incidence of hypothermia,the tremor degree,the comfort of temperature and the Apgar score of the newborn were compared between the two groups.Results Core temperature and thermal comfort scores of patients in the experimental group were significantly higher than those in the control group(P<0.01).The incidence of hypothermia and the tremor degree of patients in the experimental group were significantly lower than those in the control group(P<0.01).However,there was no statistically significant difference between the two groups in Apgar score(P>0.05).Conclusion Active warming intervention in the Operation Room may have a beneficial effect on maternal hypothermia after planned cesarean,but the relevant efficacy was not shown in Apgar score.

关 键 词：积极保暖干预 剖腹产 手术源性低体温 

分 类 号：R641.42[医药卫生—外科学]