复合保温措施对严重腹部损伤患者的应用效果分析  

Analysis on the effect of composite insulation measures on patients with severe abdominal injuries

作　　者：简守传 韩鹤林 邱兆磊[2] JIAN Shouchuan;HAN Helin;QIU Zhaolei(Outpatient Emergency Operating Room,the First Affiliated Hospital of Bengbu Medical College,Anhui,Bengbu 233000,China;Department of Emergency Surgery,the First Affiliated Hospital of Bengbu Medical College,Anhui,Bengbu 233000,China)

机构地区：[1]蚌埠医学院第一附属医院门急诊手术室,安徽蚌埠233000 [2]蚌埠医学院第一附属医院急诊外科,安徽蚌埠233000

出　　处：《中国医药科学》2023年第8期110-113,共4页China Medicine And Pharmacy

基　　金：医路“格”新-液体治疗科研基金(YLGXJZ-2020012)。

摘　　要：目的复合保温措施对严重腹部损伤患者的应用效果分析。方法选择蚌埠医学院第一附属医院门急诊手术室于2021年6月至2022年6月经手术治疗的60例严重腹部损伤的患者进行分析,根据随机数表法将患者分为两组:复合保温措施组(观察组)和常规保温措施组(对照组),每组各30例。比较两组患者入院后基本临床资料[年龄、性别、体温、收缩压及创伤严重程度(ISS)评分]、术后临床资料[手术时间、术后苏醒时间、体温恢复时间、乳酸清除时间及凝血酶原时间(prothrombin time,PT)]、术后并发症(应激性溃疡、胃潴留及凝血功能异常)及病死率和对护理满意度。结果患者入院后基本临床资料分析,两组患者在年龄、性别、体温、收缩压及ISS评分比较,差异无统计学意义(P>0.05);观察组术后的术后苏醒时间、体温恢复时间、乳酸清除时间及PT均短于对照组(P<0.05);观察组术后病死率、术后并发症(应激性溃疡、胃潴留及凝血功能异常)总发生率均明显低于对照组,总满意度高于对照组,差异有统计学意义(P<0.05)。结论复合保温措施较常规保温措施可以明显缩短患者麻醉术后苏醒时间,改善患者的凝血功能及乳酸水平,提高患者的生存率及降低术后并发症,提高患者对护理的满意度,值得临床推广应用。Objective To analyze the application effect of composite insulation measures on patients with severe abdominal injuries.Methods A total of 60 patients with severe abdominal injuries underwent operative treatment in the Outpatient Emergency Operating Room of the First Affiliated Hospital of Bengbu Medical College from June 2021 to June 2022 were analyzed,and the patients were divided into a group with composite insulation measures(the observation group,n=30)and a group with conventional ins ulation measures(the control group,n=30)according to the random number table method.The basic clinical data after admission(age,gender,body temperature,systolic blood pressure and injury severity score[ISS]),postoperative clinical data(operation time,postoperative awakening time,body temperature recovery time,lactate clearance time and prothrombin time[PT]),postoperative complications(stress ulcer,gastric retention and coagulation abnormalities),mortality and satisfaction with nursing were compared between the two groups.Results There were no differences between the two groups in the basic clinical data after admission,such as age,gender,body temperature,systolic blood pressure and ISS score(P>0.05).The postoperative awakening time,body temperature recovery time,lactate clearance time and PT recovery time in the observation group were shorter than those in the control group(P<0.05).The postoperative mortality rate and the total incidence of postoperative complications(stress ulcer,gastric retention and coagulation abnormalities)were significantly lower and the rate of satisfaction with nursing was significantly higher in the observation group than in the control group,with statistically significant differences(P<0.05).Conclusion The composite insulation measures can significantly shorten the awakening time of patients from anesthesia,improve the coagulation function and lactate level of patients,increase the survival rate of patients and reduce postoperative complications,as well as enhance the satisfaction of patients with nur

关 键 词：复合保温措施 严重腹部损伤 低体温 凝血功能 

分 类 号：R473.6[医药卫生—护理学]