多模式保温措施对腹腔镜胰十二指肠切除术患者快速康复的影响  

Effect of Multi-Mode Thermal Insulation Measures on the Rapid Recovery of Patients Undergoing Laparoscopic Pancreaticoduodenectomy

作　　者：吕娜[1] 罗丹 任春光[1] LYU Na;LUO Dan;REN Chunguang(Operating Room,Liaocheng People's Hospital,Liaocheng Shandong 252000,China)

机构地区：[1]聊城市人民医院手术室,山东聊城252000

出　　处：《中国卫生标准管理》2025年第4期179-182,共4页China Health Standard Management

基　　金：2022年度山东省医学会镇痛镇静-麻醉优化专项项目(YXH2022ZX05278)。

摘　　要：目的 评估多模式保温措施对腹腔镜胰十二指肠切除术患者快速康复的影响。方法 选取2020年9月—2023年1月在聊城市人民医院行腹腔镜胰十二指肠切除术的80例患者为研究对象。以随机数字表法分为对照组与试验组,各40例。对照组患者接受常规的被动保温方法,试验组采用加速康复理念的多模式保温措施。记录2组患者围手术期期血流动力学和鼻咽温、拔管时间和恢复室停留时间、不良反应发生率、患者和手术医师满意度。结果 2组患者在T0、T1、T2、T3、T4、T5、T6、T7、T8、T9时间点收缩压与舒张压比较,差异均无统计学意义(P> 0.05)。试验组患者在T1~T9时间点鼻咽温度高于对照组,差异有统计学意义(P <0.001)。试验组患者拔管时间、恢复室停留时间分别为(7.64±2.48)min、(30.51±7.79)min,短于对照组的(10.23±4.56)min、(45.73±12.62)min,患者满意度评分、手术医师满意度评分分别为(4.57±0.23)分、(4.75±0.13)分,高于对照组的(3.75±0.92)分、(4.05±0.52)分,差异有统计学意义(P <0.05)。2组患者循环系统、呼吸系统不良反应发生率、躁动发生率、寒战发生率比较,差异无统计学意义(P> 0.05)。结论 多模式保温措施可以为腹腔镜胰十二指肠切除术患者提供更为有效的保温效果,增加患者和外科医师的满意度,加快麻醉恢复室周转速度。Objective To assess the effect of multi-mode thermal insulation measures on the rapid recovery of patients undergoing laparoscopic pancreaticoduodenectomy.Methods A total of 80 patients who underwent laparoscopic pancreaticoduodenectomy in Liaocheng People's Hospital from September 2020 to January 2023 were selected as the subjects.They were divided into control group and experimental group by random number table method,40 cases in each group.The control group received conventional passive thermal insulation,and the experimental group received multi-mode thermal insulation with the concept of accelerated rehabilitation.Perioperative hemodynamics and nasopharyngeal temperature,extubation time and recovery room stay time, incidence of adverse reactions, patient and surgeon satisfaction were recorded in 2 groups. Results There was no significant difference in systolic and diastolic blood pressure between 2 groups at T0, T1, T2, T3, T4, T5, T6, T7, T8 and T9 time points (P > 0.05). The nasopharyngeal temperature of experimental group were higher than those of control group at T1 to T9 time points, and the differences were statistically significant (P < 0.001). Extubation time and recovery room residence time of experimental group were (7.64±2.48) min and (30.51±7.79) min, respectively, which were shorter than (10.23±4.56) min and (45.73±12.62) min of control group, respectively. The satisfaction scores of patients and surgeons were (4.57±0.23) points and (4.75±0.13) points, respectively, which were higher than (3.75±0.92) points and (4.05±0.52) points of control group, and the differences were statistically significant (P < 0.05). There was no statistical significance in the incidence of adverse reactions of circulatory system, respiratory system, agitation and chills between 2 groups (P > 0.05). Conclusion Multi-mode thermal insulation can provide more effective thermal insulation for laparoscopic pancreaticoduodenectomy patients, significantly increased the patient and surgeon satisfactions and accelerated

关 键 词：保温 腹腔镜 胰十二指肠切除术 低体温 快速康复 护理 

分 类 号：R473[医药卫生—护理学]