腹腔镜直肠癌术中低体温护理及实施意义分析  

Low-temperature Nursing and its Implementation Significance in Laparoscopic Rectal Cancer

作　　者：徐美一 XU Meiyi(Operating Room,Fushun Central Hospital,Fushun 113006,China)

机构地区：[1]抚顺市中心医院手术室,辽宁抚顺113006

出　　处：《中国医药指南》2021年第31期10-12,共3页Guide of China Medicine

摘　　要：目的分析腹腔镜直肠癌术中低体温护理实施对于患者的影响,并将其和常规护理带来的成效进行比较。方法将我院2019年1月至2019年10月的80例腹腔镜直肠癌术患者,随机分组每组例数40例。常规手术护理组对于我院的腹腔镜直肠癌术患者在手术实施的过程,采取常规的术前准备护理、术中配合和术后监护护理,低体温护理干预组对于腹腔镜直肠癌术患者在手术护理中,除了贯彻上述常规护理,还关注患者术中低体温的护理。比较两组手术护理满意度;刚开始实施麻醉的体温、术中半小时的体温水平、手术结束的体温水平;护理前后生命体征监测水平;术中低体温发生率。结果低体温护理干预组手术护理满意度高于常规手术护理组,P<0.05。低体温护理干预组生命体征监测水平优于常规手术护理组,P<0.05。低体温护理干预组刚开始实施麻醉的体温和常规手术护理组无显著差异,P>0.05;低体温护理干预组术中半小时的体温水平、手术结束的体温水平高于常规手术护理组,P<0.05。低体温护理干预组术中低体温发生率低于常规手术护理组,P<0.05。结论腹腔镜直肠癌术患者实施术中低体温的护理,可有效维持术中体温稳定,维持患者生命体征稳定,减少低体温的发生,提高患者的满意度。Objective To understand the effect of hypothermia nursing on patients with laparoscopic rectal cancer and compare it with the results of routine nursing.Methods Eighty patients with laparoscopic rectal cancer from January 2019 to October 2019 were randomized into 40 patients in each group.The routine surgical care group used routine preoperative care,intraoperative coordination and postoperative care for patients undergoing laparoscopic rectal cancer surgery in our hospital.The low temperature nursing intervention group was used for laparoscopic rectal cancer patients.In the surgical care,in addition to the implementation of the above-mentioned conventional care,it is also concerned with the care of patients with low body temperature during surgery.The satisfaction of surgical care was compared between the two groups;the body temperature of the anesthesia,the body temperature level during the operation,the body temperature level at the end of the operation,the monitoring level of vital signs before and after the treatment,and the incidence of hypothermia during the operation.Results The satisfaction of surgical nursing in the low temperature nursing intervention group was higher than that in the conventional surgical nursing group,P<0.05.The monitoring level of vital signs in the low temperature nursing intervention group was better than that in the conventional surgical nursing group,P<0.05.There was no significant difference between the hypothermia nursing intervention group and the conventional surgical care group(P>0.05);in the hypothermia nursing intervention group,the body temperature level at half an hour and the temperature at the end of the operation were higher than those in the conventional surgical care group,P<0.05.The incidence of hypothermia in the hypothermia nursing intervention group was lower than that in the conventional surgical care group,P<0.05.Conclusion Patients with laparoscopic rectal cancer who underwent intraoperative hypothermia can effectively maintain stable intraoperative temperat

关 键 词：腹腔镜直肠癌 术中低体温护理 常规护理 成效 比较 

分 类 号：R473.73[医药卫生—护理学] R735.37[医药卫生—临床医学]