摘要
目的探讨低体温护理在腹腔镜直肠癌围手术期的应用效果及对并发症的影响。方法选取2021年1月至2022年12月于福建医科大学附属第一医院行腹腔镜直肠癌根治术治疗的120例直肠癌患者作为研究对象,按照随机数字分组法分为两组,每组60例。参照组接受手术室常规护理干预,实验组在参照组基础上接受低体温护理干预。比较两组术前(T0)、手术开始30 min(T1)、手术开始60 min(T2)及手术结束即刻(T3)的体温、血流动力学指标[血氧饱和度(oxygen saturation,SaO_(2))、平均动脉压(mean arterial pressure,MAP)及HR(heart rate,HR)]、术中并发症发生情况及护理满意度。结果T0,两组体温、MAP、HR、SaO_(2)比较差异无统计学意义;T1~T3,实验组体温、SaO_(2)均高于参照组,实验组MAP低于参照组,HR慢于参照组,差异有统计学意义(P<0.05)。实验组术中并发症发生率低于参照组,差异有统计学意义(P<0.05)。实验组护理总满意度高于参照组,差异有统计学意义(P<0.05)。结论对腹腔镜直肠癌根治术治疗患者行低体温护理,可维持患者围手术期血流动力学指标的稳定,确保患者术中体温,减少并发症的发生,手术安全性较高,值得临床推广应用。
Objective To explore the application effect of hypothermia nursing in perioperative period of laparoscopic rectal cancer and its influence on complications.Methods A total of 120 patients with rectal cancer who underwent laparoscopic radical resection of rectal cancer admitted to the First Affiliated Hospital of Fujian Medical University from January 2021 to December 2022 were selected as the research subjects,and they were divided into two groups according to the random number grouping method,with 60 cases in each group.The reference group received routine nursing intervention in the operating room,while the experimental group received hypothermia nursing intervention on the basis of the reference group.The body temperature,hemodynamic indicators(blood oxygen saturation[SaO_(2)],mean arterial pressure[MAP],and heart rate[HR])before the operation(T0),30 min after the operation(T1),60 min after the operation(T2),and immediately after the operation(T3),the occurrence of intraoperative complications,and nursing satisfaction were compared between the two groups.Results T0,there were no statistically significant differences in body temperature,MAP,HR and SaO_(2) between the two groups;at T1-T3,the body temperature and SaO_(2) in the experimental group were higher than those in the reference group,while MAP was lower than that in the reference group,and HR was slower than that in the reference group,the differences were statistically significant(P<0.05).The incidence of intraoperative complications in the experimental group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The total nursing satisfaction rate in the experimental group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion Hypothermia nursing for patients undergoing laparoscopic radical resection of rectal cancer can maintain the stability of hemodynamic indicators during the perioperative period,ensure the intraoperative body temperature,reduce the occurrence of complications and has relatively high surgical safety,it is worthy of clinical promotion and application.
作者
江如
周飞凤
JIANG Ru;ZHOU Feifeng(Operating Room,The First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian,350000,China;Department of Hepatobiliary and Pancreatic Cancer Surgery District 8,Fujian Cancer Hospital,Fuzhou,Fujian,350014,China)
出处
《当代医学》
2025年第5期161-165,共5页
Contemporary Medicine
关键词
低体温护理
腹腔镜直肠癌手术
并发症
血流动力学
体温
Hypothermia nursing
Laparoscopic rectal cancer surgery
Complications
Hemodynamics
Body temperature
