手术室复合保温措施联合术前治疗性抚触在结肠癌根治术患者中的应用效果  

Application effect of compound insulation measures in operating room combined with preoperative therapeutic touch in patients undergoing radical resection of colon cancer

作　　者：杨洁 朱凌云 孙立群[1] YANG Jie;ZHU Lingyun;SUN Liqun(Operating Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院手术部,郑州4500000

出　　处：《癌症进展》2024年第13期1456-1459,共4页Oncology Progress

基　　金：教育部产学合作协同育人项目(231107187293635)。

摘　　要：目的探讨手术室复合保温措施联合术前治疗性抚触在结肠癌根治术患者中的应用效果。方法根据干预方法的不同将106例结肠癌根治术患者分为对照组和观察组,每组53例,对照组患者采取常规干预,观察组患者在对照组的基础上采取手术室复合保温措施联合术前治疗性抚触。比较两组患者的温度、焦虑情绪[状态焦虑量表(SAI)]、术后拔管时间、麻醉苏醒时间及术后并发症发生情况。结果手术30 min、1 h、2 h及术毕,观察组患者体温均明显高于对照组,差异均有统计学意义(P﹤0.01)。手术前,两组患者SAI评分均低于本组入院时,观察组患者SAI评分低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者术后拔管时间、麻醉苏醒时间均短于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论手术室复合保温措施联合术前治疗性抚触应用于结肠癌根治术患者,可维持术中体温稳定,缓解术前焦虑情绪,促进术后麻醉苏醒,降低并发症发生率。Objective To explore the application effect of compound insulation measures in operating room combined with preoperative therapeutic touch in patients undergoing radical resection of colon cancer.Method A total of 106 patients who received radical resection of colon cancer were divided into control group and observation group according to different intervention methods,with 53 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received compound insulation measures in operating room combined with preoperative therapeutic touch on the basis of the control group.The temperature,anxiety emotion[state anxiety inventory(SAI)],postoperative extubation time,anesthesia recovery time and postoperative complications were compared between the two groups.Result At 30 min,1 h,2 h after the surgery began and the time immediately after surgery,the body temperatures of the observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.01).Before surgery,the SAI scores of both groups were lower than those at admission,and the SAI score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The postoperative extubation time and anesthesia recovery time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Compound insulation measures in operating room combined with preoperative therapeutic touch can maintain the stability of temperature during surgery,relieve preoperative anxiety,promote postoperative anesthesia recovery,and reduce the incidence of complications in patients undergoing radical resection of colon cancer.

关 键 词：结肠癌根治术 手术室 复合保温措施 抚触 焦虑 并发症 

分 类 号：R735.35[医药卫生—肿瘤]