保温干预在腹部手术患者中应用探究.docVIP

保温干预在腹部手术患者中应用探究【摘要】目的：探讨保温干预在腹部手术患者中的护理效果，以及对患者生命体征的影响。方法：将100例腹部手术的患者采用随机数字的方法，分成观察组和对照组各50例，观察组采用保温干预措施，对照组采用传统的护理方法，比较两组患者生命体征的变化和护理效果。结果：观察组护理效果明显好于对照组，如心率、体温的变化和寒战发生率等，差异有统计学意义(P＜0.05)。结论：保温干预可以有效预防腹部手术患者术中低体温发生、稳定血压和心率，提高手术安全性，值得临床推广应用。 【关键词】保温干预；护理；生命体征；腹部手术 Study on the application of heat preservation intervention for patients accepted abdominal operation TAN Su-lanZENG Su-lan,PENG Cheng-jun（Department of Operating room, The First People’s Hospital ofZiyangCity,CHINA ,641300） 【Abstract】Objective：To explore nursing effect of heat preservation intervention for patients accepted abdominal operation，and the vital signs of patients. Method：100 cases patients accepted abdominal operation were randomly divided into the intervention group (50 cases) and control group (50 cases).The control group was applied for the traditional nursing method，the intervention group took the heat preservation intervention，and then compared the nursing efficacy and changes in vital signs of them. Results：Comparing the results of patients in two groups，the nursing effects of intervention group were significantly higher than that in control group(P0.05)，such as the changes of heart rate、body temperature and rate of shivering，etc. Conclusion：The heat preservation intervention can prevent the patients accepted abdominal operation from developing intra operative hypothermia，maintain the stability of blood pressure and heart rate，to promote surgical safety，and hence is worthy of being recommended in clinical practice. 【Key words】Heat preservation intervention；Nursing；Vital signs；abdominal operation 人体通过体温调节系统，正常情况下可以保持机体核心温度在37℃左右。腹部手术患者，由于手术时间长、室温低、腹腔脏器和肢体暴露、使用冷冲洗液和输注低温液体等，都可使患者散热增加；麻醉后肌肉松弛使、体温调节中枢功能抑制等，导致患者围手术期低体温(中心温度低于36℃)。由于围手术期低体温可导致麻醉药物代谢减慢、凝血功能障碍、免疫功能受抑制、术后渗血和切口感染等并发症，因此维持患者手术中体温恒定具有重要意义[1]。2008年12月～2010年12月，我们对腹部手术患者采取保温干预措施，护理效果满意，现报告如下。 1资料与方法 1.1一般资料100例患者均来自我院，其中男58例，女42例，年龄18～79岁，身高150～184cm，体重37～90kg，手术时间1～6h，术中补液2000～4000ml。疾病类型：消化道肿瘤31例、阑尾炎20例、腹股沟疝1