局部剃头备皮联合复合保暖干预对脑肿瘤患者术后颅内感染及寒战、低体温发生率的影响  

Effect of local shaving and skin preparation combined with composite warm keeping intervention on the incidence of intracranial infection,shivering,and hypothermia in patients with brain tumors

作　　者：张维娜 陈小娥 ZHANG Wei-na;CHEN Xiao-e(Department of Neurosurgery,Ankang Central Hospital,Ankang 725000,Shaanxi,CHINA)

机构地区：[1]安康市中心医院神经外科,陕西安康725000

出　　处：《海南医学》2022年第11期1490-1492,共3页Hainan Medical Journal

摘　　要：目的观察局部剃头备皮联合复合保暖干预对脑肿瘤患者术后颅内感染率及寒战、低体温发生率的影响。方法选择2016年1月至2020年1月在安康市中心医院神经外科接受治疗的75例脑肿瘤患者,按照随机数表法分为观察组37例和对照组38例。对照组患者采用全头备皮联合常规护理,观察组患者采用局部剃头备皮联合复合保暖。比较两组患者术后颅内感染率、切口愈合时间、住院时间及寒战、低体温发生率。结果观察组患者术后颅内感染为2.70%,明显低于对照组的18.42%,差异有统计学意义(P<0.05);观察组患者的切口愈合时间和住院时间分别为(5.24±1.24)d、(9.52±1.43)d,明显短于对照组的(6.43±1.22)d、(11.54±1.41)d,差异均有统计学意义(P<0.05);观察组患者的术后低温、术后寒战发生率分别为13.51%和5.41%,明显低于对照组的47.47%和34.21%,差异均有统计学意义(P<0.05)。结论局部剃头备皮联合复合保暖干预能降低脑肿瘤患者的术后颅内感染率,减少寒战、低体温发生,值得临床推广应用。Objective To observe the effect of local shaving,and skin preparation combined with composite warm keeping intervention on the rate of intracranial infection,shivering,and hypothermia in brain tumor patients after surgery.Methods Seventy-five brain tumor patients treated in Department of Neurosurgery,Ankang Central Hospital from January 2016 to January 2020 were selected and divided into 37 cases in the observation group and 38 cases in the control group according to random number table method.Patients in the control group were treated with whole head preparation combined with conventional care,and patients in the observation group were treated with local shaving and skin preparation combined with composite warm keeping intervention.The postoperative intracranial infection rate,incision healing time,hospitalization time,and the incidence of shivering and hypothermia were compared between the two groups.Results The postoperative intracranial infection in the observation group was 2.70%,which was significantly less than 18.42% in the control group(P<0.05);the incision healing time and hospitalization time in the observation group were(5.24±1.24)d and(9.52±1.43)d,which were significantly shorter than corresponding(6.43±1.22)d and(11.54±1.41)d in the control group(P<0.05);the incidence of postoperative hypothermia and postoperative shivering in the observation group was 13.51% and 5.41%,respectively,which were significantly less than corresponding 47.47% and 34.21% of the control group(P<0.05).Conclusion Local shaving and skin preparation combined with composite warm keeping intervention can reduce the incidence of postoperative intracranial infection,shivering,and hypothermia in brain tumor patients,which is worthy of clinical promotion and application.

关 键 词：脑肿瘤 局部剃头备皮 复合保暖 颅内感染 寒战 低体温 

分 类 号：R473.73[医药卫生—护理学]