摘要
目的观察保温干预对老年腹部手术患者生命体征的影响。方法将〉60岁腹部手术患者40例，随机分为保温组（20例）和常温组（20例）。保温组采用控制室温22—24℃，冲洗液、输注液体和血液等加热至37℃；常温组仅控制室温。记录两组患者围手术期收缩压、心率、体温变化和寒战发生情况。结果保温组患者收缩压、心率、体温在入室时、消毒时和手术1h时的差异无统计学意义（P〉0．05），而常温组患者收缩压、心率、体温波动明显（P〈0．01）。保温组患者寒战、低温（〈35℃）的发生率明显低于常温组（P〈0．01—0．05）。结论老年患者术中采取有效的保温干预，可有效预防术中低温和促进术后康复。
Objective To observe the effect of heat preservation on vital sign of geranial patients undergoing abdominal operation. Methods Forty patients aged more than 60 undergoing abdominal operation were randomly divided into 2 groups： heat preservation （HP） group （n=20） received room temperature （22℃ -24℃ ） control, and warming rinse solution and transfusion at 37℃ ; whereas normal temperature （NT） group （n =20） only accepted room temperature control. The systolic pressure （SP）, heart rate （FIR）, body temperature （BT） and shiver in both groups were recorded. Results SP, FIR and BT in HP group showed no obvious changes before operation, during skin sterilization and 1 hour after the beginning of operation （P 〉 0. 05 ）, but these signs had remarkable fluctuation in NT group （P 〈0. 01 ） . The incidence of hypothermia （ 〈35℃ ） and shiver is significantly lower in HP group than that in NT group （P 〈 0. 01 - 0. 05 ） . Conclusion The valid intervention of intraoperative HP can prevent the senile patients from developing intraoperative hypothermia and promote their postoperative rehabilitation.
出处
《国际护理学杂志》
2006年第10期781-783,共3页
international journal of nursing
关键词
保温
护理
老年
围术期
Heat preservation
Nursing
Gerontism
Perioperation
