围手术期保温干预对剖宫产围术期产妇核心体温及循环功能的影响  

Effects of the perioperative thermal insulation for women with cesarean section on their core body temperature and circulatory function

作　　者：欧巍崴 胡洁 潘新兰 OU Weiwei;HU Jie;PAN Xinlan(Xuancheng Central Hospital,Xuancheng,Anhui Province,242000)

机构地区：[1]安徽省宣城市中心医院,242000

出　　处：《中国计划生育学杂志》2024年第7期1563-1567,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨基于循证的围手术期保温干预对剖宫产产妇围术期核心体温及循环功能的影响。方法:选取2019年11月-2023年11月本院拟行剖宫产术产妇92例,数字奇偶法分为观察组、对照组各46例,两组均给予围术期常规护理措施干预,观察组给予基于循证的围手术期保温策略干预。比较两组围术期核心体温水平、循环功能、并发症(躁动、寒战、低体温)发生率及护理满意度。结果:观察组核心体温切皮时(37.10±0.19℃)、手术15min(36.64±0.39℃)、胎儿娩出时(36.31±0.35℃)、手术结束时(36.52±0.33℃)均高于对照组(36.84±0.20℃、36.12±0.41℃、35.85±0.47℃、35.81±0.45℃),手术15min、手术结束时心率、舒张压、收缩压、平均动脉压变化幅度观察组均低于对照组,寒战(2.2%)、低体温(4.4%)发生率低于对照组(13.1%、21.7%),护理满意度(93.5%)高于对照组(76.1%)(均P<0.05)。结论:剖宫产产妇围术期应用基于循证的围手术期保温策略干预,有助于维持围术期核心体温,改善循环功能,降低低体温、寒战发生风险,产妇广泛认可。Objective:To investigate the effects of the evidence-based practice of perioperative thermal insulation for women with cesarean section on their core body temperature and circulatory function.Methods:92 pregnant women who wanted cesarean section were selected and were divided into two groups(46 cases in each group) by numerical odd-even method between November 2019 and November 2023.The women in the two groups were given the perioperative routine care intervention,and the women in the observation group were given the evidence-based practice of perioperative thermal insulation additionally.The perioperative core body temperature value-the circulatory function,the incidences of complications, such as agitation,chills and hypothermia, and the nursing satisfaction of the women were compared between the two groups.Results:The core temperature values of the women in the observation group at skin incision(37.10±0.19℃),at 15min of operation(36.64±0.39℃),at fetal delivery(36.31 ±0.35℃) and at the end of operation(36.52±0.33℃) were significantly higher than those(36.84 ±0.20℃,36.12±0.41℃,35.85±0.47℃ and35.81±0.45℃) of the women in the control group.The change values of the heart rate,the diastolic blood pressure,the systolic blood pressure and the mean arterial pressure of the women in the observation group at 15min of operation and at the end of operation were significantly lower than those of the women in the control group.The incidences of shivering(2.2%) and hypothermia(4.4%) of the women in the observation group were significantly lower than those(13.1% and 21.7%) of the women in the control group.The nursing satisfaction(93.5%) of the women in the observation group was significantly higher than that(76.1%) of the women in the control group(all P<0.05).Conclusion:The application of the evidence-based practice of perioperative thermal insulation for the pregnant women with cesarean section can effectively maintain their perioperative core body temperature,improve their circulatory function and r

关 键 词：剖宫产围术期 保温干预 核心体温 循环功能 并发症 护理满意度 

分 类 号：R719.8[医药卫生—妇产科学]