摘要
目的探究基于循证构建老年妇科肿瘤切除手术术中低体温预防方案在临床中的效果,为其临床应用提供依据。方法回顾性分析2020年8月—2022年6月于西部战区总医院行手术治疗的老年妇科肿瘤患者103例,根据不同的干预方案分为观察组(n=55)和对照组(n=48)。2组患者肿瘤切除围术期间,对照组于准备室与手术室内行常规干预,观察组实施基于循证构建的术中低体温预防方案干预。比较2组围术期的体温变化,低体温、寒颤发生率,热舒适度评分。结果干预后,2组各时间点的体温变化差异具有统计学意义(P<0.001),除入手术室外,其余时间点观察组的体温均高于对照组(P<0.001);观察组低体温发生率、寒颤发生率均低于对照组(14.55%vs 47.92%、5.45%vs 37.50%,P<0.001);2组各时间点的热舒适度评分差异具有统计学意义(P<0.001),且观察组在各时间点的评分高于对照组(P<0.05);观察组凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)均少于对照组(P<0.001)。结论基于循证构建老年妇科肿瘤切除手术术中低体温预防方案干预能有效减少患者术中体温波动,降低低体温与寒颤发生率,提高热舒适度。
Objective To explore the clinical effect of anevidence-based prevention program of hypothermia during the operation of gynecological tumor resection in the elderly,and provide basis for its clinical application.Methods A retrospective analysis was performed on 103 elderly patients with gynecological tumors who received surgical treatment in General Hospital of Western Theater Command from August 2020 to June 2022.They were divided into observation group(n=55)and control group(n=48)according to the different intervention plans.During the perioperative period of tumor resection,the patients in the control group received routine intervention in the preparation room and the operating room,while the patients in the observation group received the intervention of an evidence-based intraoperative hypothermia prevention program.The perioperative temperature changes,incidence of hypothermia and chills,and score of thermal comfort were compared between the two groups.Results After intervention,the difference of temperature change at each time point between the two groups was statistically significant(P<0.001).Except the time point of entering the operating room,the body temperature of the observation group was higher than that of the control group at other time points(P<0.001).The incidence of hypothermia and chills in the observation group were lower than those in the control group(14.55%vs 47.92%,5.45%vs 37.50%,P<0.001).The difference of thermal comfort scores between the two groups at each time point was statistically significant(P<0.001),and the scores of the observation group at each time point were higher than those of the control group(P<0.05).After intervention,the prothrombin time(PT),thrombin time(TT)and activated partial thrombin time(APTT)in the observation group were shorter than those in the control group(P<0.001).Conclusion The evidence-based prevention program of hypothermia during gynecologic tumor resection in the elderly can effectively reduce the fluctuation of intraoperative body temperature,reduce the incidence of hypothermia and shivering,and improve the thermal comfort.
作者
暴晨
梁瑜
刘方
Bao Chen;Liang Yu;Liu Fang(Department of Anesthesiology,General Hospital of Western Theater Command,Chengdu,Sichuan,610083,P.R.China)
出处
《老年医学与保健》
CAS
2022年第6期1229-1233,共5页
Geriatrics & Health Care
关键词
老年
妇科肿瘤
手术切除
低体温
预防方案
elderly
gynecological tumor
resection
hypothermia
prevention program
