综合保温护理措施对妇科手术患者围术期体温水平及术后恢复的影响  

Effect of comprehensive temperature-holding measures on perioperative body temperature and postoperative recovery in patients undergoing gynecological surgeries

作　　者：肖英[1] 黄伟[1] 许超[1] 冯苗倩 XIAO Ying;HUANG Wei;XU Chao;FENG Miao-qian(Department of Anesthesiology,Zhongshan Bo′ai Hospital,Guangdong Province,Zhongshan528400,China)

机构地区：[1]广东省中山市博爱医院麻醉科,广东中山528400

出　　处：《中国当代医药》2021年第13期263-265,269,共4页China Modern Medicine

基　　金：广东省中山市卫生健康局医学科研项目(2020J172)。

摘　　要：目的探讨综合保温护理措施对妇科手术患者围术期体温水平、术后恢复和不良事件发生的影响。方法选取2019年2月~2020年4月广东省中山市博爱医院收治的96例妇科手术患者作为研究对象,按照随机数字表法分为对照组(48例)和观察组(48例)。对照组给予常规保温护理,观察组采用综合保温护理措施。比较两组的体温水平、术后恢复指标、不良事件发生率。结果入室时两组的体温水平比较,差异无统计学意义(P>0.05);手术结束时观察组的体温为(36.48±0.47)℃,高于对照组的(36.12±0.35)℃,差异有统计学意义(P<0.05)。观察组术后自主呼吸恢复时间为(15.28±3.61)min、苏醒时间为(24.63±4.13)min、拔管时间为(27.28±4.47)min、肠蠕动恢复时间为(14.28±3.62)h、住院时间为(5.67±1.23)d,短于对照组的(19.04±3.33)、(29.55±4.06)、(34.34±4.69)min、(19.42±3.51)h、(7.30±1.55)d,差异均有统计学意义(P<0.05);观察组的不良事件总发生率为4.16%,低于对照组的18.75%,差异有统计学意义(P<0.05)。结论综合保温护理措施能有效维持妇科手术患者围术期体温水平,缩短麻醉苏醒时间、拔管时间,降低寒战、躁动等不良事件发生,加快术后康复进程。Objective To explore the effect of comprehensive temperature-holding measures on perioperative body temperature,postoperative recovery and adverse events in patients undergoing gynecological surgeries.Methods Ninety-six patients undergoing gynecological surgeries admitted to Zhongshan Bo′ai Hospital,Guangdong Province from February 2019 to April 2020 were selected as the research subjects.They were divided into the control group(n=48)and the observation group(n=48)according to the random number table method.In the control group,routine heat preservation care was used,and in the observation group,comprehensive temperature-holding measure was adopted.The body temperature,postoperative recovery indicators,and total incidence of adverse events were compared between the two groups.Results There was no significant difference in body temperature between the two groups when entering the operation room(P>0.05).The body temperature of the observation group was(36.48±0.47)℃at the end of the operation,higher than that of the control group of(36.12±0.35)℃,and the difference was statistically significant(P<0.05).The time of postoperative spontaneous breathing,awakening,extubation,peristalsis,and hospital stay were(15.28±3.61),(24.63±4.13),(27.28±4.47)min,(14.28±3.62)h,(5.67±1.23)d,shorter than those of the control group of(19.04±3.33),(29.55±4.06),(34.34±4.69)min,(19.42±3.51)h,and(7.30±1.55)d,with statistical differences(P<0.05).The total incidence of adverse events in the observation group was 4.16%,lower than that of the control group accounting for 18.75%,and the difference was statistically significant(P<0.05).Conclusion Comprehensive temperature-holding measures can effectively maintain the perioperative body temperature of patients undergoing gynecological surgeries,shorten the time of awakening from anesthesia and extubation,reduce the incidence of adverse events such as chills and restlessness,and speed up the recovery process after surgery.

关 键 词：妇科手术 综合保温护理 体温水平 术后恢复指标 低体温 寒战 

分 类 号：R472.3[医药卫生—护理学]