三时段多模式保温护理对全麻输尿管结石手术患者干预情况以及寒战评分的影响  

The Effect of Three-period Multi-mode Thermal Insulation Nursing on the Intervention Status and Chill Score of Patients Undergoing General Anesthesia and Ureteral Calculi Surgery

作　　者：吴灼金 WU Zhuojin(Department of Ultrasound Diagnostics,907 Hospital of Joint Logistics Support Force,Nanping,Fujian Province,353000 China)

机构地区：[1]联勤保障部队第九〇七医院超声诊断科,福建南平353000

出　　处：《中外医疗》2021年第35期159-163,共5页China & Foreign Medical Treatment

摘　　要：目的探讨三时段多模式保温护理对全麻输尿管结石手术患者干预情况以及寒战评分的影响。方法通过随机抽样法选取2018年1月—2019年12月于该院接受输尿管镜碎石手术的136例患者,随机分为两组,每组68例,对照组接受常规护理,研究组加用三时段多模式保温护理,对比患者身体温度、护理情况、寒战情况、并发症情况。结果两组患者麻醉诱导时、手术30 min时身体温度比较,差异无统计学意义(t=0.528、0.823,P>0.05),研究组手术60 min时、手术结束即刻身体温度高于对照组[(36.40±0.30)℃vs(35.04±0.20)℃]、[(36.45±0.10)℃vs(35.05±0.20)℃],差异有统计学意义(t=31.104、51.629,P<0.05);研究组麻醉拔管时间、清醒时间、住院治疗时间均短于对照组[(9.00±5.20)min vs(15.11±7.00)min]、[(13.20±10.95)min vs(19.65±12.05)min]、[(4.20±0.20)min vs(5.65±0.65)min],差异有统计学意义(t=5.778、3.267、17.582,P<0.05);研究组寒战发生率低于对照组(4.41%vs 23.53%),差异有统计学意义(χ^(2)=10.339,P<0.05);研究组并发症发生率低于对照组(2.94%vs 16.18%),差异有统计学意义(χ^(2)=6.889,P<0.05)。结论输尿管镜碎石手术患者接受三时段多模式保温护理,术中、术后可有效维持身体温度稳定,利于缩短麻醉拔管、清醒、住院治疗时间,减少寒战及并发症的发生,该模式具有积极推广意义。Objective To explore the effect of three-period multi-mode insulation nursing on the intervention status and chill score of patients undergoing general anesthesia for ureteral calculi surgery.Methods 136 patients who underwent ureteroscopic lithotripsy in the hospital from January 2018 to December 2019 were randomly divided into two groups,with 68 cases in each group.The control group received routine care and the study group added three-time multi-mode heat preservation care to compare the patient's body temperature,nursing status,chills,and complications.Results There was no significant difference in body temperature between the two groups during anesthesia induction and 30 min after operation(t=0.528,0.823,P>0.05).The body temperature of the study group was higher than the control group[(36.40±0.30)℃vs(35.04±0.20)℃],[(36.45±0.10)℃vs(35.05±0.20)℃],the difference was statistically significant(t=31.104,51.629,P<0.05).The time of extubation,wakefulness and hospitalization in the study group were shorter than those in the control group[(9.00±5.20)min vs(15.11±7.00)min],[(13.20±10.95)min vs(19.65±12.05)min],[(4.20±0.20)min vs(5.65±0.65)min],the difference was statistically significant(t=5.778,3.267,17.582,P<0.05).The incidence of chills in the study group was lower than that in the control group(4.41%vs 23.53%),and the difference was statistically significant(χ^(2)=10.339,P<0.05).The complication rate of the study group was lower than that of the control group(2.94%vs 16.18%),and the difference was statistically significant(χ^(2)=6.889,P<0.05).Conclusion Patients undergoing ureteroscopic lithotripsy surgery receive three-period multi-mode thermal insulation care,which can effectively maintain body temperature stability during and after the operation,which is beneficial to shorten the time of anesthesia extubation,wakefulness,and hospitalization,and reduce the occurrence of chills and complications.It is of active promotion significance.

关 键 词：三时段多模式保温护理 输尿管镜碎石手术 寒战评分 

分 类 号：R5[医药卫生—内科学]