多途径围术期低体温预防在腹腔镜全子宫切除术患者中的应用分析  

Analysis of multi-pathway perioperative hypothermia prevention in patients undergoing laparoscopic total hysterectomy

作　　者：杨静[1] 李丽[1] YANG Jing;LI Li(Central Operating Room,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院中心手术室,乌鲁木齐市830054

出　　处：《河北医药》2024年第17期2671-2674,共4页Hebei Medical Journal

基　　金：新疆维吾尔自治区卫生与健康适宜技术推广项目[编号:SYTG-(国)202143]。

摘　　要：目的研究腹腔镜全子宫切除术中引入多途径式围术期低体温预防护理机制的效果。方法选择2022年1月至2023年6月行腹腔镜全子宫切除术治疗患者80例,随机数字表法分为对照组和试验组,每组40例。对照组给予腹腔镜全子宫切除术常规式护理,试验组在对照组基础上加用多途径围术期低体温预防护理干预,比较2组干预后的应激反应[肾上腺素(NE)、皮质醇(Cor)、去甲肾上腺素(NA)]、血气指标[动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))]、炎性反应指标[C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)],体温、低体温发生率。结果试验组NE、COR、NA、PaO_(2)、PaCO_(2)、CRP、TNF-α、IL-6优于对照组,术时30 min、术时1 h、术毕体温高于对照组,围术期低体温发生率低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜全子宫切除术患者中给予多途径围术期低体温预防护理机制,具有较高应激反应、炎性反应控制效应,可稳定患者血气与体温,规避围术期低体温风险。Objective To observe the effect of introducing multi-pathway perioperative hypothermia(PH)prevention in patients undergoing laparoscopic total hysterectomy(LTH).Methods Eighty patients who underwent LTH in our hospital from January 2022 to June 2023 were randomized 1:1 to conventional nursing(control group)or multi-pathway PH prevention plus conventional nursing(study group).The inter groups in terms of each observational index were compared after the intervention.Results The stress response indexes(norepinephrine[NE],cortisol[COR],noradrenaline[NA]),blood gas indexes(arterial oxygen tension[PaO_(2)]and arterial carbon dioxide tension[PaCO_(2)]),and inflammatory response indexes(C-reactive protein[CRP],tumor necrosis factor-alpha[TNF-α],interleukin-6[IL-6])of the experimental group were better than those of the control group(P<0.05).The temperature monitoring data at minutes 30,hour 1,and end of operation were significantly higher than those of the control group,and the incidence rate of PH was significantly lower than those of the control group(P<0.05).Conclusion The introduction of multi-pathway PH prevention in patients with LTH has a high stress and inflammation control effect,which can stabilize the patient’s blood gases and body temperature,and avoid the risk of PH.

关 键 词：多途径护理 围术期低体温预防护理 腹腔镜手术 全子宫切除术 

分 类 号：R473.71[医药卫生—护理学]