无线温度持续监测联合多模式保温护理对全麻手术患者应激反应的影响  

The Effect of Wireless Temperature Continuous Monitoring Combined with Multi-mode Insulation Nursing on Stress Response in Patients Undergoing General Anesthesia Surgery

作　　者：陈银霜 叶民燕 蔡小燕 CHEN Yinshuang;YE Minyan;CAI Xiaoyan(Department of Anesthesia Recovery Room,Xiamen Third Hospital,Xiamen 361100,China;Department of Obstetrics and Gynecology,Xiamen Third Hospital,Xiamen 361100,China;Department of Neurology,Xiamen Third Hospital,Xiamen 361100,China)

机构地区：[1]厦门市第三医院麻醉恢复室,厦门361100 [2]厦门市第三医院妇产科,厦门361100 [3]厦门市第三医院神经内科,厦门361100

出　　处：《中国医药指南》2024年第32期25-28,共4页Guide of China Medicine

摘　　要：目的对全麻手术患者开展无线温度持续监测联合多模式保温护理,对干预后应激反应的影响分析。方法该研究对象为2021年12月至2023年12月厦门市第三医院收治的全麻手术患者,入选对象共90例,利用随机数字表法进行分组,分为对照组与研究组各45例。对照组采用常规保温护理,研究组采用无线温度持续监测+多模式保温护理。对比两组的体温变化、应激反应、凝血功能指标、认知功能及并发症。结果手术10 min、手术30 min及手术毕,研究组的体温均高于对照组(P<0.05)。在皮质醇(Cor)与去甲肾上腺素(NE)水平上,研究组低于对照组(P<0.05)。在凝血酶原时间(PT)与活化部分凝血活酶时间(APTT)上,研究组短于对照组(P<0.05)。术后1 h、术后4 h,在认知功能评分上,研究组高于对照组(P<0.05)。在并发症发生率上,研究组低于对照组(P<0.05)。结论无线温度持续监测+多模式保温护理有利于稳定患者的体温,减轻应激反应。Objective To analyze the effect of continuous wireless temperature monitoring combined with multi-mode thermal insulation nursing on post-intervention stress response in patients undergoing general anesthesia.Methods The study included 90 patients who underwent general anesthesia surgery at Xiamen’s Third Hospital from December 2021 to December 2023.They were randomly divided into a control group and a study group,each with 45 cases.The control group received standard temperature care,while the study group received continuous wireless temperature monitoring and multimodal warming care.The study compared changes in body temperature,stress responses,coagulation indicators,cognitive function,and complications between the two groups.Results After 10 minutes,30 minutes,and completion of surgery,the body temperature of the study group was higher than that of the control group(P<0.05).In terms of cortisol(Cor)and norepinephrine(NE)levels,the study group was lower than the control group(P<0.05).In terms of prothrombin time(PT)and activated partial thromboplastin time(APTT),the study group was shorter than the control group(P<0.05).At 1 hour and 4 hours after surgery,the cognitive function score of the study group was higher than that of the control group(P<0.05).In terms of the incidence of complications,the study group was lower than the control group(P<0.05).Conclusions Continuous wireless temperature monitoring combined with multi-mode insulation nursing is beneficial for stabilizing the patient’s body temperature,reducing stress reactions,and can be further promoted and applied in clinical practice.

关 键 词：全麻手术 无线温度持续监测 多模式保温护理 应激反应 

分 类 号：R614[医药卫生—麻醉学] R473.6[医药卫生—外科学]