围手术期保温措施在腹腔镜宫颈癌手术患者中的应用  

Application of perioperative thermal insulation measure in patients undergoing laparoscopic cervical cancer surgery

作　　者：何昭爱 HE Zhaoai(Department of Anesthesiology,Jinan Third People’s Hospital,Shandong Province,Jinan 250000,China)

机构地区：[1]济南市第三人民医院麻醉科,山东济南250000

出　　处：《妇儿健康导刊》2025年第2期113-116,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析围手术期保温措施在腹腔镜宫颈癌手术患者中的应用效果。方法选取2020年1月至2023年1月济南市第三人民医院收治的50例宫颈癌患者作为研究对象,按照随机数字表法将其分为观察组(25例)与对照组(25例)。对照组采用常规围手术期护理干预,观察组在对照组基础上采用围手术期保温措施,比较两组不良反应、体温及相关临床指标情况。结果观察组不良反应总发生率低于对照组(P<0.05);观察组手术30 min、术后5 min的体温[(36.72±0.52)、(36.56±0.37)℃]均高于对照组[(36.05±0.44)、(36.07±0.31)℃](P<0.05)。观察组术后胃泌素、胃动素水平高于对照组(P<0.05);手术30 min及术后5 min,观察组心率、血压低于对照组(P<0.05)。结论围手术期保温措施在腹腔镜宫颈癌手术患者中应用,可以保持体温、生命体征稳定,降低寒战等并发症的发生风险。Objective To analyze the application effect of perioperative thermal insulation measure in patients undergoing laparoscopic cervical cancer surgery.Methods A total of 50 patients with cervical cancer admitted to Jinan Third People’s Hospital from January 2020 to January 2023 were selected as the research objects,and they were divided into observation group(25 cases)and control group(25 cases)according to the random number table method.The control group was given routine perioperative nursing intervention,and the observation group was given perioperative thermal insulation measure on the basis of the control group.The adverse reactions,body temperature and related clinical indicators were compared between the two groups.Results The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).The body temperature at 30 min operation and 5 min after operation in the observation group([36.72±0.52],[36.56±0.37]℃)was higher than that in the control group([36.05±0.44],[36.07±0.31]℃)(P<0.05).The levels of gastrin and motilin after operation in the observation group were higher than those in the control group(P<0.05).At 30 min operation and 5 min after operation,the heart rate and blood pressure in the observation group were lower than those in the control group(P<0.05).Conclusion The application of perioperative thermal insulation measure in patients undergoing laparoscopic cervical cancer surgery can maintain the stability of body temperature and vital signs,and reduce the risk of shivering and other complications.

关 键 词：围手术期 保温措施 腹腔镜 宫颈癌 麻醉复苏 

分 类 号：R473.6[医药卫生—护理学]