腹腔镜手术患儿术中预保温护理措施探讨  

Exploration of intraoperative pre-incubation nursing measures for children with laparoscopic surgery

作　　者：谢冰 XIE Bing(Department of Anesthesiology,Shengjing Hospital Affiliated to China Medical University,Shenyang,Liaoning,110000)

机构地区：[1]中国医科大学附属盛京医院麻醉科,辽宁沈阳110000

出　　处：《实用临床医药杂志》2020年第5期92-94,97,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨术中预保温护理措施对腹腔镜手术患儿体温变化的影响。方法将200例腹腔镜手术患儿随机分为观察组与对照组各100例。对照组采用常规保温措施,观察给采用预保温护理措施。比较2组患儿术中体温变化、寒战发生情况、应激指标。结果观察组切皮后30 min、术毕时体温高于对照组,术中寒战的发生率低于对照组,差异有统计学意义(P<0.05)。观察组术毕的肾上腺素、去甲肾上腺素水平低于对照组,差异有统计学意义(P<0.05)。观察组的拔管时间、自主呼吸恢复时间均短于对照组,差异有统计学意义(P<0.05)。结论术中预保温护理能够维持患儿术中体温的恒定,减少应激反应和寒战的发生,缩短拔管时间。Objective To explore the effect of intraoperative pre-incubation nursing measures on change of body temperature in children with laparoscopic surgery.Methods A total of 200 children with laparoscopic surgery were randomly divided into observation group and control group,with 100 cases in each group.The control group was treated with conventional warming measures,while the observation was treated with pre-incubation nursing measures.The change of intraoperative body temperature,incidence of shiver and stress indexes were compared between the two groups.Results The body temperatures at the time points of 30 minutes after cutting skin and the end of operation in the observation group were significantly higher than those in the control group,while the incidence rate of shiver was significantly lower than the control group(P<0.05).The levels of adrenaline and noradrenaline in the observation group were significantly lower than those in the control group(P<0.05).The time of extubation and recovery of spontaneous respiration in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion Intraoperative pre-incubation nursing measures can keep the body temperature constant during operation,reduce the incidence of stress reaction and shiver,and shorten the time of extubation.

关 键 词：预保温护理措施 腹腔镜 手术患儿 体温变化 肾上腺素 去甲肾上腺素 

分 类 号：R473.6[医药卫生—护理学]