全程恒温管理预防低体温对TURP术后患者机体康复的影响  

Infuence of Whole-Course Constant Temperature Management for Preventing Hypothermia on the Recovery of Patients after TURP

作　　者：甘蔚明[1] 詹至柔 江敏仪 谢慈妹[1] GAN Weiming;ZHAN Zhirou;JIANG Minyi;XIE Cimei(Operating Room,Guangzhou First People's Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院手术室

出　　处：《临床医学工程》2019年第11期1589-1590,共2页Clinical Medicine & Engineering

摘　　要：目的分析全程恒温管理对经尿道前列腺切除术(TURP)术后患者机体康复的影响。方法将2018年1月至2018年5月行TURP的50例患者作为对照组,给予常规护理;将2018年6月至2018年12月行TURP的50例患者作为实验组,给予全程恒温管理。两组患者在入室时、术中30 min、 60 min、 90 min、 120 min和术毕均测量记录体温,统计两组的寒战发生率、疼痛评分和肠道功能恢复情况。结果实验组术中30 min、 60 min、 90 min、 120 min和术毕的体温均高于对照组(P <0.05)。实验组术后肠鸣音恢复时间和首次肛门排气时间均短于对照组,寒战发生率和疼痛评分低于对照组(P均<0.05)。结论对TURP患者行全程恒温管理,能降低低体温和术后寒战发生率,促进肠道功能恢复,减轻术后疼痛,提高患者术后机体康复效果。Objective To analyze the influence of whole-course constant temperature management on the recovery of patients after transurethral resection of prostate(TURP). Methods 50 patients undergoing TURP from January 2018 to May 2018 were selected as control group and given routine nursing. 50 patients undergoing TURP from June 2018 to December 2018 were selected as experimental group and given whole-course constant temperature management. The temperature at entering the operating room, 30 min, 60 min, 90 min and 120 min during operation, and at the end of operation in the two groups were detected and recorded. The incidence of shiver, pain score and recovery of intestinal function in the two groups were counted. Results The temperature at 30 min, 60 min, 90 min and 120 min during operation and the end of operation in the experimental group were higher than those in the control group(P <0.05). The postoperative recovery time of bowel sound and the first anal exhaust time in the experimental group were shorter than those in the control group, and the incidence of shiver and pain scores were lower than those in the control group(all P <0.05). Conclusions Whole-course constant temperature management for TURP patients can reduce the incidence of hypothermia and postoperative shiver, promote the recovery of intestinal function, alleviate postoperative pain, and improve the postoperative body recovery effect of patients.

关 键 词：全程恒温管理 低体温 TURP 康复 影响 

分 类 号：R473.6[医药卫生—护理学]