基于循证支持的手术室体温干预在结直肠癌手术中的效果观察  

Effect of Body Temperature Intervention in Operating Room Based on Evidence-Based Support in Colorectal Cancer Operation

作　　者：何畅 卫伟[1] 李慧捷 刘宁[1] 王利军 HE Chang;WEI Wei;LI Hui-jie;LIU Ning;WANG Li-jun(Department of Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000)

机构地区：[1]郑州大学第一附属医院中心手术部,河南郑州450000

出　　处：《中国肛肠病杂志》2024年第7期54-57,共4页Chinese Journal of Coloproctology

摘　　要：目的:探讨循证支持联合手术室体温护理干预在结直肠癌患者手术中的应用。方法:以我院收治的206例结直肠癌患者作为研究参与者,将2022年4~9月就诊的107例患者纳入对照组,予以常规护理模式干预;将2022年10月至2023年3月就诊的99例患者纳入观察组,予以循证支持联合手术室体温护理干预。比较2组患者于手术前(T0)、手术30min后(T1)、手术60min后(T2)、手术结束时(T3)鼻咽温度变化、生命体征(收缩压、舒张压、心率)变化、术后恢复情况、术后并发症以及寒颤发生率。结果:T0时,2组患者鼻咽温度、收缩压、舒张压、心率比较差异无统计学意义(P>0.05);T1、T2、T3时,观察组患者鼻咽温度明显高于对照组(P<0.05),生命体征参数明显低于对照组(P<0.05)。观察组患者术后各项恢复时间明显短于对照组(P<0.05),并发症发生率、寒颤发生率均明显低于对照组(P<0.05)。结论:循证支持联合手术室体温护理干预对结直肠癌患者术中保温效果较为理想,有利于稳定患者生命体征,改善其预后。Objective To investigate the application of body temperature intervention in operating room with evidence—based support in the operation of patients with colorectal cancer.Methods Total 206 pa-tients with colorectal cancer treated in our hospital were selected as study participants.Among them,107 patients treated from April to September 2022 were included in the control group,and routine nursing in-tervention was given.Another 99 patients from October 2022 to March 2023 were included in the observa-tion group to provide body temperature intervention in operating room with evidence-based support.The changes of nasopharyngeal temperature,vital signs(systolic blood pressure,diastolic blood pressure and heart rate),postoperative recovery,postoperative complications and incidence of chills were compared be-tween the two groups before operation(T0),30 min after surgery(T1),60 min after operation(T2),and at the end of operation(T3).Results At T0,there was no significant difference in nasopharyngeal tem-perature,systolic blood pressure,diastolic blood pressure and heart rate between the two groups(P>0.05).At T1,T2 and T3,nasopharyngeal temperature in the observation group was significantly higher than that in the control group(P<0.05),and vital sign parameters in the observation group were signifi-cantly lower than those in the control group(P<0.05).The postoperative recovery time of the observa-tion group was significantly shorter than that of the control group(P<0.05),and the incidence of com-plications and chills of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Body temperature intervention in operating room with evidence-based support has an ideal effect on intraoperative insulation of patients with colorectal cancer,which is conducive to stabilizing vital signs and improving prognosis.

关 键 词：结直肠癌 手术 循证支持 体温护理 

分 类 号：R472.3[医药卫生—护理学]