输液加温器在手术室优质护理腹腔镜胃癌根治术患者中的应用  

Application of High-Quality Care in Operating Room Combined with Infusion Thermostat in Patients Treated By Laparoscopic Radical Gastrectomy

作　　者：朱子晶 张艺 张沁 Zhu Zijing;Zhang Yi;Zhang Qin(Operating Room of Jiujiang First People's Hospital,Jiujiang Jiangxi 332000,China)

机构地区：[1]九江市第一人民医院手术室,江西九江332000

出　　处：《医疗装备》2022年第5期172-174,共3页Medical Equipment

摘　　要：目的探讨输液加温器在手术室优质护理腹腔镜胃癌根治术患者中的应用效果。方法选取2019年1月至2021年1月医院收治的86例腹腔镜胃癌根治术患者作为研究对象,按随机数字表法分为两组,各43例。对照组给予手术室优质护理,观察组在对照组基础上加用输液加温器,比较两组体温、免疫功能[白细胞介素-6(IL-6)、白细胞介素-2(IL-2)]、胃肠功能。结果术毕,观察组体温为(36.60±0.10)℃,高于对照组的(36.41±0.14)℃,差异有统计学意义(P<0.05);术后24 h,观察组IL-6、IL-2水平分别为(35.18±3.05)pg/ml、(132.01±2.49)pg/ml,均高于对照组的(31.77±2.48)pg/ml、(128.66±2.75)pg/ml,差异有统计学意义(P<0.05);观察组术后肠鸣音恢复时间、进食恢复时间、肛门首次排气时间分别为(2.07±0.24)d、(2.44±0.31)d、(2.18±0.25)d,均短于对照组的(2.51±0.19)d、(2.87±0.29)d、(2.63±0.26)d,差异有统计学意义(P<0.05)。结论输液加温器在手术室优质护理腹腔镜胃癌根治术患者中的应用效果良好,可预防围手术期体温下降,利于改善机体免疫功能,加快术后胃肠功能恢复。Objective The application effects of high-quality care in operating room combined with infusion thermostat in patients treated by laparoscopic radical gastrectomy were explored.Methods 86 patients who were treated by laparoscopic radical gastrectomy in the hospital from January 2019 to January 2021 were selected as the study subjects and divided into two groups according to the random number table method,with 43 cases in each.The control group received high-quality care in operating room,while the observation group added infusion thermoat intervention based on the control group.The body temperature,immune function[interleukin-6(IL-6),interleukin-2(IL-2)]and gastrointestinal function were compered between the two groups.Results At the end of the operation,the body temperature of the observation group was(36.60±0.10)℃,which was higher than(36.41±0.14)℃in the control group,with statistically significant difference(P<0.05);At 24 hours after the operation,the levels of IL-6 and IL-2 were(35.18±3.05)pg/ml and(132.01±2.49)pg/ml,which were higher than(31.77±2.48)pg/ml and(128.66±2.75)pg/ml in the control group,respectively,with statistically significant differences(P<0.05);The postoperative bowel sound recovery time,feeding recovery time,and the first anal exhaust time were(2.07±0.24)d,(2.44±0.31)d,and(2.18±0.25)d,which were shorter than(2.51±0.19)d,(2.87±0.29)d,and(2.63±0.26)d in the control group,respectively,with statistically significant differences(P<0.05).Conclusion The application effects of high-quality care in operating room combined with infusion thermostat in patients treated by laparoscopic radical gastrectomy are good,with body temperature drop at perioperative period prevented,immune function improved and postoperative recovery of gastrointestinal function accelerated.

关 键 词：胃癌 腹腔镜胃癌根治术 手术室优质护理 输液加温器 免疫功能 胃肠功能 

分 类 号：R735.2[医药卫生—肿瘤]