基于保温干预的集束化护理对腹腔镜胆囊切除术患者的影响  

The impact of bundle nursing based on insulation intervention on patients undergoing laparoscopic cholecystectomy

作　　者：左美娟 吴敏 Zuo Meijuan;Wu Min(Operating Room of Lianshui County People’s Hospital in Huan’an,Jiangsu Huai’an 223400,China)

机构地区：[1]淮安市涟水县人民医院手术室,江苏淮安223400

出　　处：《临床普外科电子杂志》2025年第1期98-101,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的分析基于保温干预的集束化护理对腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)患者围手术期恢复的影响。方法选取2022年7月至2024年7月期间在涟水县人民医院接受LC的104例患者,随机数字表法将患者分为观察组(基于保温干预的集束化护理)和对照组(常规护理),各52例。术前、术中30min、术中60min、术毕及术后60min分别监测两组患者的体温变化,并比较术前和术后60min两组患者的凝血功能指标[纤维蛋白原(fibrinogen,FIB)、凝血酶时间(thrombin time,TT)、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)]。结果观察组患者术中30min、术中60min、术毕的体温高于对照组,差异均有显著性(P<0.05)。两组患者术前及术后60min的FIB水平,TT、APTT无显著差异(P>0.05),术后60min,观察组的FIB水平高于对照组,TT、APTT短于对照组(P<0.05)。结论基于保温干预的集束化护理能够显著维持LC患者术中体温稳定,稳定术中的凝血功能指标。Objective To analyze the eff ect of bundle nursing based on insulation intervention on perioperative recovery of patients undergoing laparoscopic cholecystectomy(LC).Method 104 patients who received LC at Li-anshui County People’s Hospital from July 2022 to July 2024 were selected and randomly divided into an obser-vation group(bundle nursing based on insulation intervention)and a control group(conventional nursing),with 52 patients in each group,using a random number table method.Monitor the temperature changes of two groups of pa-tients before surgery,30 minutes during surgery,60 minutes during surgery,60 minutes after surgery,and compare the coagulation function indicators[fi brinogen(FIB),thrombin time(TT),activated partial thromboplastin time(APTT)]of the two groups of patients before surgery and 60 minutes after surgery.Result The observation group had signifi cantly higher body temperatures at 30 minutes,60 minutes,and after surgery compared to the control group(P<0.05).There was no signifi cant diff erence in FIB,TT,and APTT between the two groups of patients before and 60 minutes after surgery(P>0.05).At 60 minutes after surgery,the FIB level in the observation group was higher than that in the control group,while TT and APTT were shorter than those in the control group(P<0.05).Conclusion Bundle nursing based on insulation intervention can signifi cantly maintain stable intraoperative body temperature and coagulation function indicators in LC patients.

关 键 词：保温 集束化护理 腹腔镜胆囊切除术 体温变化 凝血功能 

分 类 号：R473.6[医药卫生—护理学]