基于循证理论的专项保温干预对老年腹腔镜手术患者术中低体温及术后康复的影响  

Effects of special heat preservation intervention based on evidence-based theory on intraoperative hypothermia and postoperative rehabilitation of elderly patients undergoing laparoscopic surgery

作　　者：潘张华 陶静[2] 方磊[3] 黄晓旭[4] Pan Zhanghua;Tao Jing;Fang Lei;Huang Xiaoxu(Operating Room,Anqing First People's Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003,P.R.China;Nursing Department,Anqing First People's Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003,P.R.China;Department of Gastrointestinal Surgery,Anqing First People's Hospital Affiliated to Anhui Medical University,Anqing,Anhui,246003,P.R.China;Department of Gastrointestinal Surgery,Yijishan Hospital,Wannan Medical College,Wuhu,Anhui,241004,P.R.China)

机构地区：[1]安徽医科大学附属安庆第一人民医院手术室,安徽安庆246003 [2]安徽医科大学附属安庆第一人民医院护理部,安徽安庆246003 [3]安徽医科大学附属安庆第一人民医院胃肠外科,安徽安庆246003 [4]皖南医学院弋矶山医院胃肠外科,安徽芜湖241004

出　　处：《老年医学与保健》2022年第4期892-895,906,共5页Geriatrics & Health Care

基　　金：2019年国家自然科学基金(81902515)。

摘　　要：目的 探究基于循证理论的专项保温干预对老年腹腔镜手术患者术中低体温及术后康复的影响。方法 选择2020年1月—2022年1月安徽医科大学附属安庆第一人民医院收治的行全麻下腹腔镜手术的老年患者160例,按照随机数表法将其分为对照组与观察组,每组各80例。对照组接受常规保温护理,观察组接受基于循证理论的专项保温干预。观察2组进入手术室时(T1)、麻醉后(T2)、手术60 min(T3)、术毕30 min(T4)的体温变化情况,并比较2组自主呼吸恢复时长、意识恢复时长、住院时长、并发症及术后康复质量情况。结果 观察组T2、T3、T4时间的体温均比对照组高(P<0.05);观察组自主呼吸恢复时长、意识恢复时长及住院时长均比对照组短(P<0.05);观察组术中低体温、术中躁动、术中寒战发生率均比对照组低(P<0.05);观察组术后康复质量优于对照组(P<0.05)。结论 基于循证理论的专项保温干预可明显降低老年腹腔镜手术患者术中低体温发生率,促进术后康复。Objective To explore the effects of special heat preservation intervention based on evidence-based theory on intraoperative hypothermia and postoperative rehabilitation of elderly patients undergoing laparoscopic surgery.Methods A total of 160 elderly patients who underwent laparoscopic surgery under general anesthesia in Anqing First People’s Hospital Affiliated to Anhui Medical University from January 2020 to January 2022 were selected.They were divided into control group and observation group according to the random number table method,with 80 patients in each group.The control group received routine heat preservation nursing,and the observation group received special heat preservation intervention based on evidence-based theory.The changes of body temperature were observed when the patients entered the operating room(T1),after anesthesia(T2),60 min after operation(T3) and 30 min after operation(T4).The recovery time of spontaneous breathing,consciousness recovery time,hospitalization time,complications and postoperative rehabilitation quality were compared between the two groups.Results The body temperature of the observation group at T2,T3 and T4 was higher than that of the control group(P<0.05).The recovery time of spontaneous breathing,consciousness recovery time and hospitalization time of the observation group were shorter than those of the control group(P<0.05);the incidences of intraoperative hypothermia,agitation and chills in the observation group were lower than those in the control group(P<0.05);the postoperative rehabilitation quality of the observation group was better than that of the control group(P<0.05).Conclusion The special heat preservation intervention based on evidence-based theory can significantly reduce the incidence of intraoperative hypothermia in elderly patients undergoing laparoscopic surgery,and promote postoperative recovery.

关 键 词：老年 循证理论 腹腔镜手术 术中低体温 体温调节 

分 类 号：R473.6[医药卫生—护理学]