术中保温联合标准化器械传递在结直肠癌手术患者中的应用效果  

Application effect of intraoperative heat preservation combined with standardized instrument delivery in patients with colorectal cancer undergoing surgery

作　　者：高晓庆 项霙 张露文 樊梦琪 田静静[1] GAO Xiaoqing;XIANG Ying;ZHANG Luwen;FAN Mengqi;TIAN Jingjing(Department of Day Surgery(2),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日间手术部(2),郑州450000

出　　处：《癌症进展》2024年第21期2404-2407,共4页Oncology Progress

摘　　要：目的探讨术中保温联合标准化器械传递在结直肠癌手术患者中的应用效果。方法根据干预方式的不同将150例结直肠癌手术患者分为观察组(n=74)和对照组(n=76),对照组患者接受常规干预,观察组患者接受术中保温联合标准化器械传递。比较两组患者的体温、手术相关指标、器械使用情况、并发症发生情况及满意度。结果手术开始(T_(2))至术毕(T_(5)),观察组患者的体温均明显高于对照组,差异均有统计学意义(P<0.01)。观察组患者术中出血量及器械传递次数、整理手术台次数、器械滑落次数、清洗手术器械次数均明显少于对照组,首次下床活动时间、手术时间及住院时间均明显短于对照组,差异均有统计学意义(P<0.01)。观察组患者的并发症总发生率为2.70%,低于对照组患者的11.84%,总满意度为100%,高于对照组患者的86.84%,差异均有统计学意义(P<0.05)。结论术中保温联合标准化器械传递可维持结直肠癌手术患者的术中体温,减少并发症及不良事件的发生,提高干预满意度,促进患者的术后恢复。Objective To investigate the application effect of intraoperative heat preservation combined with standardized instrument delivery in patients with colorectal cancer undergoing surgery.Method According to different intervention methods,150 patients with colorectal cancer who underwent surgery were divided into observation group(n=74)and control group(n=76).Patients in the control group received routine intervention,while patients in the observation group received intraoperative heat preservation combined with standardized instrument delivery.The body temperature,surgical related indicators,instrument usage,incidence of complications,and satisfaction were compared between the two groups.Result From the beginning of surgery(T_(2))to the end of surgery(T_(5)),the body temperatures in observation group were higher than those in control group,and the differences were statistically significant(P<0.01).The intraoperative bleeding volume,instrument transfer frequency,table cleaning frequency,instrument sliding frequency,and instrument cleaning frequency in observation group were significantly less than those in control group,the first time of getting out of bed activity,surgery time,and hospitalization time were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).The total incidence of complications in observation group was 2.70%,which was lower than 11.84%in control group,the overall satisfaction rate was 100%,which was higher than 86.84%in control group,and the differences were statistically significant(P<0.05).Conclusion Intraoperative heat preservation combined with standardized instrument delivery can maintain the intraoperative body temperature of patients with colorectal cancer undergoing surgery,reduce the occurrence of complications and adverse events,improve intervention satisfaction,and promote postoperative recovery.

关 键 词：结直肠癌 术中保温 标准化器械传递 并发症 满意度 

分 类 号：R735.3[医药卫生—肿瘤]