综合保温措施预防剖宫产术中病人低体温的干预作用 沈林芳 肖燕婷.docVIP

精品论文 参考文献 综合保温措施预防剖宫产术中病人低体温的干预作用 沈林芳 肖燕婷 沈林芳 肖燕婷（江苏盛泽医院麻醉手术科, 江苏 吴江 215228） 　　【摘要】目的：探讨综合保温措施对剖宫产术中病人低体温的预防作用。方法：选取我院收诊的150 例行剖宫术的产妇作为研究对象，随机分为常规干预组与综合保温组。常规干预组运用常规护理方案，综合保温组产妇采用综合保温措施。比较两组产妇入室、术中及术毕等阶段的体温、心率及血压变化，分析术中寒颤发生情况。结果：与常规干预组相比，综合保温组手术15min 及术毕体温均显著升高，产妇术中、术毕的心率、血压明显降低（Plt;0.05），且稳定；寒颤发生率显著降低（Plt;0.05）。结论：综合保温措施能有效维持剖宫产妇的正常体温，降低寒颤的发生率。 　　【关键词】剖宫产术；低体温；综合保温措施；干预作用【中图分类号】 R573 【文献标号】 A 【文章编号】 2096-0867（2015）02-0023-02Intervention effect on low-temperature in cesarean section of patients of comprehensive insulation measureAbstract: Objective: To explore the intervention effect on low-temperature in cesarean section of patients of comprehensiveinsulation measure. Methods: 150 patients with cesarean section in hospital were chose as the research object, and randomly dividedinto conventional intervention group and comprehensive insulation group. Conventional intervention group was given conventionalnursing, but comprehensive insulation group was given comprehensive heat preservation measures. The body temperature, heart rateand blood pressure change of before, between and after operation were compared, and the chills happening between operations wereanalyzed. Results: Compared with the conventional intervention group, temperature on 15 min after the beginning and at the endof operation significantly increased in the comprehensive insulation group, heart rate and blood pressure of puerpera between andafter operation decreased obviously (P lt; 0.05), and stable. The incidence of chills decreased significantly (P lt; 0.05). Conclusion:Comprehensive heat preservation measures can effectively maintain the normal temperature of patients in cesarean section, and reducethe incidence of chills.Keywords: Cesarean section; Low temperature; Comprehensive heat preservation measures; Intervention effect 　　剖宫产手术作为临床上解决难产和某些产科合并症的重要手段，已被广泛运用。然而由于麻醉剂的影响、手术室内的环境、体腔的开放、产时出血、胎儿与胎盘娩出以及大量消毒液的使用等诸多因素的影响，造成患者围手术期间散热增加，导致低体温的状况发生[1]。低体温可导致患者寒颤发生率升高、凝血功能障碍、术中失血量增加和术后渗血、切口感染以及免疫功能受损等不良反应