摘要
目的探讨腹腔镜直肠癌术中低体温护理对肠功能恢复的影响。方法选取2018年1月至2021年1月间核工业二一五医院收治的接受腹腔镜直肠癌手术的100例直肠癌患者。采用随机数表法分为对照组和观察组,每组50例。对照组患者实施常规围手术期护理,观察组患者在常规围手术期护理基础上实施术中低体温护理。比较两组患者的术中生命体征指标、术中凝血功能指标、并发症发生率、术后肠功能恢复时间和护理满意度。结果与术前相比,对照组术中30min的体温、收缩压和舒张压均明显下降,差异均有统计学意义(均P<0.05);观察组术中30min的体温、收缩压和舒张压均未发生明显改变,差异无统计学意义(P>0.05)。观察组术中30min的凝血酶时间(TT)、凝血酶原时间(PT)和活化部分凝血活酶时间(APTT)均短于对照组,差异均有统计学意义(均P<0.05)。观察组的术中低体温、术中凝血障碍、术后感染及下肢水肿发生率均低于对照组,差异均有统计学意义(均P<0.05)。与对照组相比,观察组的术后肠鸣音恢复时间和排气时间均缩短,差异均有统计学意义(均P<0.05)。观察组的护理总满意率为98.0%,高于对照组的84.0%,差异有统计学意义(P<0.05)。结论术中低体温护理可减少腹腔镜直肠癌手术患者术中低体温、凝血障碍的发生,维持术中生命体征稳定,降低术后并发症风险,加快术后肠功能恢复,患者围术期护理服务更满意。
Objective To explore the effect of low temperature nursing on intestinal function recovery in laparoscopic surgery for rectal cancer.Methods From January 2018 to January 2021,100 patients with rectal cancer who underwent laparoscopic surgery were selected at No.215 Hospital of Shaanxi Nuclear Industry.They were divided into an observation group and a control group with 50 patients in each group.The observation group received hypothermia nursing based on conventional perioperative nursing and the control group received conventional perioperative nursing.The intraoperative vital signs,intraoperative coagulation function,incidence of complications,postoperative intestinal function recovery time and patient satisfaction with nursing were compared between the two groups.Results Compared with before operation,the body temperature over 30 min,systolic blood pressure and diastolic blood pressure decreased significantly in the control group(all P<0.05),while there was no change in the body temperature over 30 min,systolic blood pressure and diastolic blood pressure in the observation group(P<0.05).Thrombin time(TT),prothrombin time(Pt)and activated partial thromboplastin time(APTT)over 30 min during the operation were shorter in the observation group than in the control group(all P<0.05).The incidence of hypothermia,coagulation disorders,postoperative infection and lower limb edema were lower in the observation group than in the control group(all P<0.05).Compared with the control group,the recovery time of bowel sounds and passing gas time were significantly short in the observation group(P<0.05).The overall satisfaction rate was 98.0%in the observation group which was higher than 84.0%of the control group(P<0.05).Conclusion Intraoperative hypothermia nursing can reduce the occurrence of hypothermia and coagulation disorders,maintain the stability of vital signs,reduce the risk of postoperative complications,accelerate the recovery of postoperative intestinal function,and make patients more satisfied with perioperative nursing service.
作者
董维
贺莎
DONG Wei;HE Sha(General Operating Room,No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)
出处
《中国肿瘤临床与康复》
2021年第7期827-830,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
直肠肿瘤
腹腔镜手术
低体温护理
Rectal neoplasms
Laparoscopic surgery
Hypothermia
