结直肠癌患者围术期体温保护的临床价值  

Clinical Value of Thermoprotection at Perioperation of Colorectal Cancer Patients

作　　者：张丽[1] ZHANG Li(The 1st Affiliated Hospital to Nanyang Medical College for Professional Training,Nanyang,Henan 473000)

机构地区：[1]南阳医学高等专科学校第一附属医院

出　　处：《中国肛肠病杂志》2019年第11期62-63,共2页Chinese Journal of Coloproctology

摘　　要：为探讨结直肠癌患者围术期体温保护的临床效果,选取2017年5月至2018年11月拟于我院拟行手术治疗的82例结直肠癌患者作为研究对象,随机分为对照组和观察组,各41例,对照组采用常规护理,观察组在常规护理基础上予以体温保护措施。比较2组患者围术期各时点鼻咽温、术中寒颤发生率,术后气管插管拔除时间、麻醉清醒时间、出室时间,以及术后感染发生率。结果显示,手术开始时、开始30min和60min、结束时,观察组患者鼻咽温变化不大,对照组患者鼻咽温逐渐降低,2组间同时点体温比较,观察组患者鼻咽温均高于对照组,P<0.05;观察组术中寒颤发生率明显低于对照组,P<0.05。观察组患者术后气管插管拔管时间、麻醉苏醒时间、出室时间均明显短于对照组,P<0.05;观察组术后感染发生率明显低于对照组,P<0.05。结果表明,对结直肠癌患者围术期进行体温保护,不仅可维持术中体温稳定,降低寒颤发生率,而且有利于患者术后麻醉期恢复,降低感染发生率。This study was to investigate the clinical efficacy of thermoprotection at perioperation of colorectal cancer patients,enrolled 82 cases with colorectal cancer to be subjected to surgery,and randomly divided them into control group(41 cases,routine nursing)and observation group(41 cases,based on routine nursing added thermoprotection measures);then compared nasopharyngeal temperature(NT)at every time-points,the incidence of intraoperative shakes,the time of extubating endotracheal tube after surgery,the time of conscious of anesthesia,the time of discharged from room,and postoperative infection incidence between the two groups.As results,at begining of operation,at 30 min and 60 min amid operation,at end of operation,patients’NT change in observation group was about the same,but in control group NT was gradually declined,at above each time-point NT in observation group were all higher than that in control group(P<0.05);in the incidence of intraoperative shakes observation group was significantly lower than control group(P<0.05);after surgery in the time of extubating endotracheal tube,of anesthesia conscious,and of discharged from room observation group was all significantly shorter than control group(P<0.05);in the postoperative infection incidence observation group was significantly lower than control group(P<0.05).Results show that at perioperation of colorectal cancer patients thermoprotection can not only maintain intraoperative body temperature stable,reduce shakes incidence,but is beneficial to postoperative anesthesia duration recovered,decline infection rate.

关 键 词：结直肠癌 围术期 体温保护 效果 

分 类 号：R473.73[医药卫生—护理学]