充气式加温毯配合术中液体加温在肺癌根治术患者手术室护理中的应用  

Application of Inflatable Heating Blanket Combined with Intraoperative Liquid Heating in Operation Room Nursing of Patients with Radical Lung Cancer

作　　者：郑阳娟 ZHENG Yangjuan(wards,Youxi County General Hospital,Sanming 365100,China)

机构地区：[1]尤溪县总医院二十一病区,三明365100

出　　处：《中国医药指南》2024年第17期130-132,共3页Guide of China Medicine

摘　　要：目的本研究旨在阐明充气式加温毯配合术中液体加温在肺癌根治术患者手术室护理中的应用效果。方法抽取2020年10月—2021年10月在我院进行胸腔镜下肺癌根治术的60例患者为研究目标。基于随机数字表法分为观察组和对照组,均为30例。对照组采用术中液体加温措施进行保温,观察组采用充气式加温毯联合术中液体加温进行保温,观察两组围手术期指标、白细胞介素6(IL-6)表达水平、低温发生情况、热舒适度及恢复室滞留时间。结果围手术期,对照组患者的麻醉时间、手术时间、术中输液量水平均高于观察组(均P<0.05)。术后,患者的IL-6水平呈先增后减的趋势,术后第1天,两组患者的IL-6表达水平对比无差异(P>0.05);第3、7天,观察组的IL-6表达水平均低于对照组(均P<0.05)。随着手术时间的延长,患者的低温发生率呈升高趋势,且术中1 h、术中2 h、术中3 h及术毕对照组的低温发生率均高于观察组(均P<0.05)。术后,观察组患者的热舒适度评分高于对照组(P<0.05),恢复室滞留时间在两组之间未表现出差异性(P>0.05)。结论对于肺癌的胸腔镜下根治术患者,充气式加温毯联合术中液体加温能有效缩短患者的麻醉时间、手术时间等,维持机体的免疫微环境的稳定、减小患者的低温发生率,同时增加患者的热舒适度,是肺癌患者根治术过程中有效的保温措施。Objective The purpose of this study was to clarify the application effect of inflatable heating blanket combined with intraoperative liquid heating in the operation room nursing of patients with lung cancer radical surgery.Methods Sixty patients who underwent thoracoscopic radical lung cancer surgery in our hospital from October 2020 to October 2021 were sampled as the target of the study.Based on the random number table method,they were divided into observation group and control group,both of which were 30 cases.The control group was kept warm by intraoperative liquid warming measures,and the observation group was kept warm by inflatable heating blankets combined with intraoperative liquid warming,and perioperative indexes,interleukin 6(IL-6)expression level,occurrence of hypothermia,thermal comfort,and duration of retention in the recovery room were observed in both groups.Results During the perioperative period,the anesthesia time,operation time,and intraoperative fluid infusion level of patients in the control group were higher than those in the observation group(all P<0.05).After surgery,the patients'IL-6 levels showed a trend of increasing and then decreasing,and on the first day after surgery,there was no difference in the comparison of IL-6 expression levels between the two groups(P>0.05);on the third and seventh days,the IL-6 expression levels in the observation group were lower than those in the control group(both P<0.05).With the prolongation of the operation time,the incidence of hypothermia in patients tended to increase,and the incidence of hypothermia in the control group was higher than that in the observation group at 1 h,2 h,3 h and the end of the operation(all P<0.05).Postoperatively,the thermal comfort score of patients in the observation group was higher than that of the control group(P<0.05),and the recovery room retention time did not show any difference between the two groups(P>0.05).Conclusions For patients undergoing thoracoscopic radical surgery for lung cancer,the combination of inflat

关 键 词：肺癌根治术 术中液体加温 充气式保温毯 

分 类 号：R734.2[医药卫生—肿瘤] R473.73[医药卫生—临床医学]