行TEP老年患者实施复合保温护理干预对术中应激反应指标和低体温及寒战发生率的影响  

Effect of Complex Thermal Nursing Intervention on Stress Reaction Index,Hypothermia and Shivering Rate in Elderly Patients Undergoing Total Extraperitoneal Laparoscopic Hernia Repair

作　　者：傅传凯 邢利超 赖萍[1] Fu Chuankai;Xing Lichao;Lai Ping(Deyang People's Hospital,Deyang,Sichuan,618000,China)

机构地区：[1]德阳市人民医院,四川德阳618000

出　　处：《黑龙江医学》2024年第10期1269-1271,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨行完全腹膜外腹腔镜疝修补术(TEP)老年患者实施复合保温护理干预对术中相关应激反应指标和低体温及寒战发生率的影响,为临床护理提供依据。方法:选取2020年1月—2022年1月德阳市人民医院手术室行TEP的98例老年患者作为研究对象,采用随机数表法将其分为常规组与研究组,每组各49例。常规组采用常规性保温护理干预,研究组在常规性保温护理基础上给予复合保温护理干预。比较两组患者手术前后各时间点相关应激反应指标(收缩压、心率)、体温变化、低体温和寒战发生率情况。结果:手术后,研究组患者手术后30min、手术结束时收缩压和心率均低于常规组,差异有统计学意义(t=6.274、4.067、5.736、5.952、P<0.05)。手术后,研究组患者术手后30min、手术结束时体温均高于常规组,差异有统计学意义(t=12.543、10.625,P<0.05)。研究组患者术中低体温及寒战发生率均低于常规组,差异有统计学意义(χ^(2)=5.018、5.995,P<0.05)。结论:对行TEP老年患者实施复合保温护理干预,能够改善患者术中相关应激反应指标,降低患者术中低体温及寒战发生风险。Objective:To probe into the influence of complex thermal nursing intervention on stress reaction indexes and the incidence of hypothermia and shivering in elderly patients undergoing totally extraperitoneal prosthesis(TEP),so as to provide basis for clinical nursing.Methods:98 elderly patients who underwent TEP in the Operating Room of Deyang People's Hospital from January 2020 to January 2022 were selected and divided into two groups by random number table,there were 49 cases in each group.The routine group was given routine heat preservation nursing,and the study group was given compound heat preservation nursing intervention on the basis of routine heat preservation nursing.The changes of stress reaction indexes(systolic blood pressure,heart rate),hypothermia and shivering were compared between the two groups.Results:After operation,the systolic blood pressure and heart rate in the study group were significantly lower than those in the control group at 30 min and at the end of operation(t=6.274,4.067,5.736,5.952;P<0.05).After operation,the body temperature of patients in the study group was significantly higher than that in the routine group at 30 min after operation and at the end of operation(t=12.543,10.625;P<0.05).The incidences of hypothermia and shivering in the study group were significantly lower than those in the routine group(χ^(2)=5.018,5.995;P<0.05).Conclusion:The implementation of composite thermal insulation nursing intervention in the operating room of elderly patients undergoing TEP can reduce the related stress reaction during the operation,and the risk of low temperature intraoperative hypothermia and chills.

关 键 词：完全腹膜外腹腔镜疝修补术 老年患者 复合保温护理 应激反应指标 低体温 寒战 

分 类 号：R473.6[医药卫生—护理学]