护理干预对预防小儿术中低体温的效果观察.docVIP

　　护理干预对预防小儿术中低体温的效果观察 陈鸥 摘要目的：探讨护理干预对小儿手术中低体温的影响。方法：选择开腹胃肠道手术患儿48例，随机等分为观察组和对照组。对照组采用常规的手术护理和配合，观察组在此基础上进行综合预防低体温发生的护理干预。观察两组患儿术前、术中、术后体温的变化及气管拔管、肛门排气和住院时间。结果：对照组较观察组在术前、术中、术后的体温变化明显，气管拔管、肛门排气及住院时间均长于观察组，差异有统计学意义（P＜0.05）。结论：综合护理干预可以有效预防低体温，缩短气管拔管、肛门排气及住院时间，有效促进患儿的康复。 .jyqkperature of pedia operation CHEN Ou (Yulin First People′s Hospital,Yulin537000) AbstractObjective:To explore the influence of nursing intervention on the loperature of pedia operation. Methods:To choose 48 cases of children y of gastrointestinal tract and divided them into observation group and control group at random.To apply conventional operation nursing and cooperation for the control group and to add prehensive nursing on this basis for the observation group and then to observe the changes of vital signs such as the temperatures before,during and after the operations of the te to pull out the trachea,pass gas and stay in hospital. Results:For the control group vital signs such as the temperatures before,during and after the operations change remarkably and longer time to pull out the trachea,to pass gas,to stay in hospital.The differences y of gastrointestinal tract can effectively improve the temperatures during and after operations and shorten the time to pull out the trachea,to pass gas,to stay in hospital,effectively boosting the recovery of the patients. Key y of gastrointestinal tract；Loperature；Nursing intervention 小儿特别是婴幼儿，体温中枢发育不完善，体温调节能力较弱，同时由于麻醉剂、手术室内的环境、开放体腔、灌注液温度低等因素的影响，都会增加患儿散热而出现术中低体温［1］。低体温会引起患儿凝血功能障碍、药物代谢缓慢、心率失常、血压下降、酸碱代谢紊乱、寒战和疼痛，给患儿带来不适，延长治疗时间。2010年6月～2012年8月，我科对24例开腹胃肠道手术患儿在常规手术护理的同时给予护理干预，预防术中低体温的发生，取得满意效果。现报道如下。 单位：537000玉林市广西玉林市第一人民医院手术室 陈鸥:女，大专，主管护师 1资料与方法 1.1一般资料本组患儿48例，男30例，女18例。年龄6个月～7岁。体重7～25 kg。其中肠套叠复位术13例，嵌顿疝松解复位术20例，阑尾切除术10例，先天性巨结肠根治术3例，肠黏连松解术2例。手术均采用全身麻醉，由同一医师操作，由同一组经过专科培训的主管护师配合。随机将48例患儿等分为对照组和观察组。两组患儿性别、年龄、病情等方面比较差异无统计学意义（Pgt;0.05），具有可比性。 1.2方法对照组患儿入室后给予常规的手术护理，调节室 内温度23～25 ℃,湿度40%～50%,患儿入手术室后加盖棉被保暖，术中使用常规的室温冲洗液冲洗。观察组在对照组基础上手术床下垫恒温电热毯，冬季在患儿身体两侧加放热水袋；术中腹腔冲洗液使用恒