摘要
目的探究加强手术室保温护理在宫颈癌根治术患者手术过程中的应用价值。方法研究对象为方便选取2017年10月—2019年12月在该院进行宫颈癌根治术治疗的患者48例,利用随机数字表将患者平均分为对照组和观察组,各组24例。对照组术中实施常规手术室护理,观察组在对照组基础上实施综合保温护理。比较两组患者术中肛温,血清肾上腺激素(adrenal hormone,AD)、去甲肾上腺素(norepinephrine,NE)及C反应蛋白(c-reactive protein,CRP)水平,术中低体温发生率、术后并发症发生率及术后恢复时间。结果观察组患者术中肛温[(36.85±2.17)℃vs(34.56±2.56)℃]显著高于对照组,差异有统计学意义(t=3.342,P=0.002);观察组血清AD[(97.68±18.97)pmol/L vs(115.76±22.18)pmol/L]、NE[(149.75±20.71)pmol/L vs(168.56±23.76)pmol/L]及CRP[(79.45±13.89)pmol/L vs(90.67±9.71)pmol/L]均显著低于对照组,比较差异有统计学意义(t=3.035、2.924、3.243,P<0.05);观察组患者术后清醒时间、肛门排气时间及下床活动时间均显著低于对照组(t=9.216、9.942、3.237,P<0.05);观察组患者术中低体温发生率(4.17%vs 25.00%)及术后并发症发生率(8.34%vs 33.34%)均显著低于对照组,差异有统计学意义(χ2=4.181、4.547,P<0.05)。结论在宫颈癌根治术患者手术过程中加强手术室保温护理能够改善患者术中应激指标,促进患者术后恢复,明显降低术后并发症发生。
Objective To explore the application value of strengthening the warm-keeping nursing of the operating room in patients undergoing radical cervical cancer surgery.Methods The study subjects conveniently selected 48 patients who underwent radical cervical cancer treatment in the hospital from October 2017 to December 2019.The patients were divided into the control group and the observation group using a random number table,with 24 cases in each group.The control group was given routine operating room nursing during the operation,and the observation group was given comprehensive heat preservation nursing on the basis of the control group.Intraoperative rectal temperature,serum adrenal hormone(AD),norepinephrine(NE)and C-reactive protein(CRP)levels were compared between the two groups of patients during surgery,the incidence of intraoperative hypothermia,and surgery Post-complication rate and postoperative recovery time.Results The intraoperative rectal temperature[(36.85±2.17)℃vs(34.56±2.56)℃]of the observation group was significantly higher than that of the control group,the difference was statistically significant(t=3.342,P=0.002);the observation group's serum AD[(97.68±18.97)pmol/L vs(115.76±22.18)pmol/L],NE[(149.75±20.71)pmol/L vs(168.56±23.76)pmol/L]and CRP[(79.45±13.89)pmol/L vs(90.67±9.71)pmol/L]were significantly lower than those of the control group,and the difference was statistically significant(t=3.035,2.924,3.243,P<0.05);the postoperative awake time,anal exhaust time and the time of getting out of bed in the observation group were significantly lower than those in the control group,the difference was statistically significant(t=9.216,9.942,3.237,P<0.05);The incidence of moderate to low body temperature(4.17%vs 25.00%)and the incidence of postoperative complications(8.34%vs 33.34%)were significantly lower than those in the control group,the difference was statistically significant(χ2=4.181,4.547,P<0.05).Conclusion Strengthening the warm-keeping care of the operating room during the operation of radical cervical cancer patients can improve the stress during the operation,promote the recovery of the patients after the operation,and significantly reduce the occurrence of postoperative complications.
作者
申昌连
毛艳
陈彩眉
SHEN Chang-lian;MAO Yan;CHEN Cai-mei(Operating Room,Second People's Hospital of Zhaoqing City,Zhaoqing,Guangdong Province,526060 China)
出处
《中外医疗》
2020年第28期134-136,154,共4页
China & Foreign Medical Treatment
关键词
手术室保温护理
宫颈癌根治术
手术应激
Insulation nursing in operating room
Radical resection of cervical cancer
Surgical stress
