基于低体温风险预测模型的复合保温干预在剖宫产术中应用效果  

Application effect of the combined body temperature maintained intervention based on the hypothermia risk prediction model for women during cesarean section

作　　者：黄晓倩 朱利 李娇 HUANG Xiaoqian;ZHU Li;LI Jiao(Linquan County People's Hospital,Linquan,Anhui Province,236400)

机构地区：[1]安徽省临泉县人民医院,236400

出　　处：《中国计划生育学杂志》2025年第3期607-610,615,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨基于低体温风险预测模型的复合保温干预在剖宫产术中的应用效果。方法:选取2022年1月-2023年8月在本院行剖宫产手术者150例,随机数字表法分为两组各75例,对照组常规保温干预,复合组给予基于低体温风险预测模型的复合保温干预,对比两组体温、平均动脉压、心率、热舒适度评分,计算低体温和寒颤发生率。结果:干预后复合组入手术室时(T0)、麻醉时(T1)、切皮时(T2)、胎儿娩出时(T3)、缝皮时(T4)的体温变化无差异(P>0.05),且T1~T4时体温(36.85±0.36℃、36.72±0.42℃、36.60±0.37℃、36.31±0.49℃)均高于对照组(36.55±0.44℃、36.31±0.51℃、36.11±0.46℃、36.01±0.56℃)(均P<0.05),T0~T4时心率、平均动脉压与对照组无差异(均P>0.05),热舒适度评分(53.21±7.11分)低于对照组(66.23±10.94分),低体温(2.7%)和寒颤(4.0%)发生率均低于对照组(12.0%、13.3%)(P<0.05)。结论:结合低体温风险预测模型实施的复合保温干预,能维持剖宫产者术中体温稳定,降低低体温和寒颤发生率,改善产妇的热舒适度。Objective:To investigate the application effect of the combined body temperature-maintained intervention based on the hypothermia risk prediction model for women during cesarean section.Methods:A total of 15o pregnant women who wanted the cesarean section in the hospital were selected and were divided into two groups by random number table method from January 2022 to August 2023.75 women in the control group were given the routine body temperature-maintained intervention in the operating room,and 75 women in the study group were given the combined body temperature-maintained intervention based on the hypothermia risk prediction model in the operating room.The values of the body temperature,the mean arterial pressure,the heart rate and the thermal comfort scores of the women were compared between the two groups.The incidences of hypothermia and chills of the women in the two groups were calculated.Results:After intervention,the changes of the body temperature of the women in the study group had no significant differences among at the entering the operating room(TO),at anesthesia(T1),at skin incision(T2),at fetal delivery(T3)and at skin suture(T4)(P>0.05).The body temperature values of the women in the study group at T1-T4(36.85±0.36℃,36.72±0.42℃,36.60±0.37℃and 36.31±0.49℃)were significantly higher than those(36.55±0.44℃,36.31±0.51℃,36.11±0.46℃and 36.01±0.56℃)of the women in the control group(all P<0.05).There were no significant differences in the values of heart rate and mean arterial pressure of the women at T0-T4 between the two groups(P>0.05).The thermal comfort score(53.21±7.11 points)of the women in the observation group was significantly lower than that(66.23±10.94 points)of the women in the control group.The incidences of hypothermia(2.7%)and shivering(4.0%)of the women in the observation group were significantly lower than those(12.0%and 13.3%)of the women in the control group(P<0.05).Conclusion:The combined body temperature-maintained intervention based on the hypothermia risk p

关 键 词：剖宫产术 低体温风险预测模型 复合保温 低体温 心率 寒颤 热舒适度 

分 类 号：R47[医药卫生—护理学]