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作 者:宋飞 冯震[2] 段蕾 王立[2] SONG Fei;FENG Zhen;DUAN Lei;WANG Li(Qilu Hospital of Shandong University,Jinan,Shandong,250012,China;The Affiliated Hospital of Qingdao University,Qingdao,Shandong,266003,China;Meihuashan Health Hospital of Laixi City,Qingdao,Shandong,266623,China)
机构地区:[1]山东大学齐鲁医院,山东济南250012 [2]青岛大学附属医院,山东青岛266003 [3]山东省青岛市莱西市梅花山卫生院,山东青岛266623
出 处:《中西医结合护理(中英文)》2023年第6期1-4,共4页Journal of Clinical Nursing in Practice
摘 要:目的探讨对行达芬奇机器人手术系统辅助食管癌根治术患者施以综合保温措施的康复效果。方法选取2021年6月至2023年2月于山东大学齐鲁医院接受达芬奇机器人手术系统辅助食管癌根治术的食管癌患者(80例)作为研究对象,按照保温方法的不同将80例患者分入观察组(40例)和对照组(40例)。对照组患者行常规保温干预,观察组患者行综合保温措施。对比2组的护理效果。结果观察组在于入室(T_(0))、麻醉30 min后(T_(1))、手术20 min后(T_(2))以及术毕(T_(3))时的核心体温均更优于对照组(P均<0.05)。观察组术中寒战0级和1级的发生率均高于对照组,而2级和3级的发生率均低于对照组,术后并发症总发生率低于对照组,数据比较均存在统计学差异(P均<0.05)。观察组在T_(1)、T_(2)以及T_(3)时的应激反应指标(皮质醇和去甲肾上腺素水平)均优于对照组(P均<0.05)。结论综合保温干预不仅能有效改善行达芬奇机器人手术系统辅助食管癌根治术患者的核心体温,还能够降低其术后并发症发生率。Objective To explore the rehabilitation effect of comprehensive thermal insulation measures on patients undergoing the da Vinci robot-assisted radical resection for esophageal cancer.Methods Eighty esophageal cancer patients who underwent the da Vinci robot-assisted radical resection for esophageal cancer were selected from Qilu Hospital of Shandong University between June 2021 and February 2023.According to the different thermal insulation methods,80 patients were allocated into an observation group(40 cases)and a control group(40 cases).The control group received routine thermal insulation intervention,while the observation group received comprehensive thermal insulation measures.The nursing effect was compared between the two groups.Results The core body temperature of the observation group was better than that of the control group at entry(T_(0)),30 min after anesthesia(T_(1)),20 min after the beginning of surgery(T_(2)),and at the end of surgery(T_(3))(all P<0.05).The incidence of grade 0 and 1 intraoperative shivering in the observation group was higher than that in the control group,while the incidence of grade 2 and 3 shivering was lower than that in the control group.The total incidence of postoperative complications was lower than that in the control group.The differences had statistical significance(all P<0.05).The stress reaction parameters(cortisol and norepinephrine levels)of the observation group were better than those of the control group at T_(1),T_(2),and T_(3)(all P<0.05).Conclusion Comprehensive thermal insulation intervention can effectively improve the core body temperature and reduce the incidence of postoperative complications in patients undergoing the da Vinci robot-assisted radical resection for esophageal cancer.
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