预防手术患者术中低体温的探讨  

Discussion on prevention of hypothermia during operation

作　　者：李凌霄[1] LI Ling-xiao(Guangdong Huazhou People' s Hospital,Huazhou 525100,China)

机构地区：[1]广东省化州市人民医院

出　　处：《中国实用医药》2019年第21期138-140,共3页China Practical Medicine

摘　　要：目的分析患者手术中低体温的预防护理干预措施及其效果。方法100例各类手术患者作为研究对象,随机分为对照组和观察组,每组50例。对照组患者采取常规护理干预,观察组患者在对照组基础上采取术中低体温预防护理。观察比较两组患者围术期体温变化情况、术中低体温与寒战发生情况以及院内感染发生情况。结果对照组术中及术后体温均明显低于术前,差异均有统计学意义(P<0.05)。而观察组患者术中、术后体温与术前比较差异均无统计学意义(P>0.05)。观察组患者术中和术后体温分别为(36.45±0.42)、(36.52±0.35)℃,均明显高于对照组的(35.84±0.34)、(35.42±0.34)℃,差异均有统计学意义(P<0.05)。观察组患者术中低体温和寒战发生率及院内感染发生率分别为22.0%、10.0%、6.0%,均明显低于对照组的64.0%、36.0%、20.0%,差异均有统计学意义(P<0.05)。结论对接受手术治疗的患者采用术中低体温预防护理具有重要意义,其能有效预防低体温与寒战的发生,且可保证患者术前、术中、术后体温的平稳,降低患者院内感染发生率,值得在临床中推广使用。Objective To analyze the preventive and psychological intervention measures for patients with hypothermia during operation and their effects. Methods A total of 100 surgical patients as study subjects were randomly divided into control group and observation group, with 50 cases in each group. The control group received conventional nursing intervention, and the observation group received hypothermia prevention nursing during operation. Observation and comparison were made on perioperative body temperature changes, occurrence of intraoperative hypothermia and chills and nosocomial infection between the two groups. Results The control group had obviously lower intraoperative and postoperative body temperature than that before operation, and the difference was statistically significant(P<0.05). There was no statistically significant difference in intraoperative and postoperative body temperature, comparing with that before operation in observation group(P>0.05).The observation group had obviously higher intraoperative and postoperative body temperature respectively as(36.45±0.42) and(36.52±0.35)℃ than(35.84±0.34) and(35.42±0.34)℃ in the control group, and their difference was statistically significant(P<0.05). The observation group had obviously lower incidence of intraoperative hypothermia, shivering and nosocomial infections respectively as 22.0%, 10.0% and 6.0%than 64.0%, 36.0% and 20.0% in the control group, and their difference was statistically significant(P<0.05).Conclusion Preventive nursing of hypothermia during operation is of great significance for surgical patients.It can effectively prevent the occurrence of hypothermia and shivering, ensure the stability of body temperature before, during and after operation, and reduce the incidence of nosocomial infection. It is worth popularizing in clinical practice.

关 键 词：手术患者 预防 低体温 护理干预 

分 类 号：R473.6[医药卫生—护理学]