术中信息提供结合结构化体温干预方案对腹腔镜胆囊切除术患者体温及应激反应的影响  

Effects of intraoperative information provision combined with structured body temperature intervention program on body temperature and stress response in patients undergoing laparoscopic cholecystectomy

作　　者：郝静 薛淑慧[2] HAO Jing;XUE Shuhui(Operating Room,the First Hospital of Yulin,Yulin 718099;Outpatient Department,Yulin No.2 Hospital,Yulin 719000,China)

机构地区：[1]榆林市第一医院手术室,陕西榆林718099 [2]榆林市第二医院门诊部,陕西榆林719000

出　　处：《临床医学研究与实践》2023年第12期147-149,共3页Clinical Research and Practice

摘　　要：目的探讨术中信息提供结合结构化体温干预方案对腹腔镜胆囊切除术患者体温及应激反应的影响。方法选取2019年8月至2021年7月我院收治的160例腹腔镜胆囊切除术患者,以抽签法随机将其分为对照组和观察组,各80例。对照组采用常规手术室护理,观察组在对照组基础上采用术中信息提供结合结构化体温干预方案。比较两组的干预效果。结果手术30 min、术毕,观察组的体温高于对照组,差异具有统计学意义(P<0.05)。手术30 min、术毕,观察组的去甲肾上腺素(NE)、多巴胺(DA)水平低于对照组,差异具有统计学意义(P<0.05)。术毕,观察组的胆囊收缩素(CCK)、血管活性肠肽(VIP)、胃蛋白酶原Ⅰ(PGⅠ)水平高于对照组(P<0.05)。结论术中信息提供结合结构化体温干预方案有利于维持腹腔镜胆囊切除术患者术中体温稳定,减轻机体应激反应,促进术后胃肠功能恢复,值得推广。Objective To explore the effects of intraoperative information provision combined with structured body temperature intervention program on body temperature and stress response in patients undergoing laparoscopic cholecystectomy.Methods A total of 160 patients undergoing laparoscopic cholecystectomy admitted in our hospital from August 2019 to July 2021 were selected and randomly divided into control group and observation group by lottery,with 80 cases in each group.The control group was given routine operating room nursing,and the observation group was given intraoperative information provision combined with structured body temperature intervention program on the basis of the control group.The intervention effects of the two groups were compared.Results At 30 min after operation and at the end of operation,the body temperature of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).At 30 min after operation and at the end of operation,the levels of norepinephrine(NE)and dopamine(DA)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At the end of operation,the levels of cholecystokinin(CCK),vasoactive intestinal peptide(VIP)and pepsinogenⅠ(PGⅠ)in the observation group were higher than those in the control group(P<0.05).Conclusion Intraoperative information provision combined with structured body temperature intervention program is conducive to maintaining intraoperative body temperature stability in patients undergoing laparoscopic cholecystectomy,reducing the body's stress response and promoting postoperative gastrointestinal function recovery,which is worth promoting.

关 键 词：术中信息提供 结构化体温干预方案 腹腔镜胆囊切除术 体温 应激反应 

分 类 号：R473[医药卫生—护理学]