摘要
目的探讨复合保温法对腹腔镜手术患者围术期体温的影响。方法将98例拟行腹腔镜胆囊切除术患者随机分为复合保温组（观察组）49例和常规保温组（对照组）49例，比较两组患者进入手术室后（入室后10min，To）、气腹前10min（T。）、气腹后10min（T2）、术毕（放气后5min，T3）、术后2h（T4）的鼻温数值及术后寒战发生率。结果人室后，T1，T2，T3，T4时观察组患者鼻温值分别为（36．65±0．30），（36．64±0．42），（36．62±0．15），（36．58±0．17）℃，各时间点与T0（36．65±0．23）相比，差异无统计学性意义（t值分别为1．12，0．46，0．71，1．07；P〉0．05）。而对照组T2，T3，T4鼻温开始明显下降，T3，T4仍未恢复至Tn水平，差异有统计学意义（t值分别为5．06，5．95，3．91；P〈0．01）。T2，T3，T4时，对照组鼻温均低于观察组，差异有统计学意义（t值分别6．64，5.99，3．94；P〈0．01）。观察组术后寒战发生率为12．9％，低于对照组的55．8％，差异有统计学意义（x2=20．148，P〈0．01）。结论腹腔镜手术患者应用复合保温法在一定程度上可保持体温稳定，可避免因体温降低而引起并发症，使患者平稳度过手术期。
Objective To explore the effects of the comprehensive heat preservation methods on body temperature of patients undergoing laparoscopic surgery. Methods Totals of 98 patients who scheduled for selective laparoscopic surgery were randomly divided into experimental group （n = 49 ） warmed with the comprehensive heat preservation methods during operation, and control group （ n = 49） warmed with the routineheat preservation methods during operation. The nasopharynx temperatures and the incidence of shivering were monitored at different operation time points （ To, T1 , T2, T3, T4 ）. Results No significant difference of nasopharynx temperature was found between T1 （36.65 ± 0.30） ℃, T2 （ 36.64 ± 0.42） ℃, T3 （ 36.62 ± 0. 15 ）℃, T4 （36.58± 0.17） ℃ and TO （ 36.65± 0.23 ） ℃ in experimental group （ t = 1.12,0. 46,0. 71,1.07, respectively; P 〉 0. 05 ）. Compared with experimental group, the nasopharynx temperature of patients in control group was significantly lower at T2 ,T3, T4 （ t = 6. 64,5. 99,3. 94, respectively ; P 〈 0. 01 ）. The incidence of shivering in experimental group（ 12.9% ） was significantly lower than that in control group（55.8% ） （ X2 = 20. 148,P 〈 0.01 ）. Conclusions Comprehensive warming methods are effective in preventing complication induced by hypothermia.
出处
《中华现代护理杂志》
2013年第12期1459-1461,共3页
Chinese Journal of Modern Nursing
关键词
护理
体温
复合保温
腹腔镜
Nursing
Body temperature
Comprehensive heat preservation methods
Laparoscopy
