摘要
目的:探究基于前馈控制风险的复合保温护理在老年骨折患者中的应用效果。方法:采用便利抽样法从2022年6月—2024年6月鹰潭市人民医院收治的行骨折手术的老年患者中选取80例,采用分层随机分组方法分为观察组和对照组,各40例。对照组接受常规护理,观察组在此基础上接受基于前馈控制风险的复合保温护理干预。比较两组术后恢复情况、体温、应激反应指标及并发症发生率。结果:观察组麻醉苏醒时间、气管导管拔管时间、首次排气时间、肌力恢复时间早于对照组(P<0.05);手术结束时,观察组HR、SBP、DBP低于对照组(P<0.05);手术1 h后、手术结束时、病房交接时,观察组体温均高于对照组(P<0.05)。术中及麻醉苏醒期间,观察组并发症总发生率均低于对照组(P<0.05)。结论:基于前馈控制风险的复合保温护理应用于老年骨折患者中,保温效果显著,能减少应激反应和并发症,促进术后康复。
Objective:To investigate the application effect of complex thermal insulation nursing based on feedforward risk control in elderly patients with fractures.Method:By using the convenience sampling method,80 elderly patients with fractures who underwent fractures surgery were admitted to the Yingtan People's Hospital from June 2022 to June 2024 were selected.They were divided into the observation group and the control group by stratified random grouping method,with 40 cases in each group.The control group received routine nursing,while the observation group,on this basis,received complex thermal insulation nursing based on feedforward risk control intervention.The postoperative recovery conditions,body temperature,stress response indicators and the incidence of complications were compared between the two groups.Result:The anesthesia recovery time,tracheal catheter extubation time,first exhaust time and muscle strength recovery time in the observation group were earlier than those in the control group(P<0.05).At the end of the operation,the HR,SBP and DBP in the observation group were lower than those in the control group(P<0.05).One hour after the operation,at the end of the operation,and during the ward handover,the body temperature of the observation group were higher than those of the control group(P<0.05).During the operation and the anesthesia recovery period,the total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of complex thermal insulation nursing based on feedforward risk control in elderly patients with fractures has a remarkable thermal insulation effect,which can reduce stress responses and complications and promote postoperative recovery.
作者
逄丽萍
欧阳婷
周楠
PANG Liping;OUYANG Ting;ZHOU Nan(Operating Room,Yingtan People's Hospital,Yingtan 335000,China;不详)
出处
《中国医学创新》
2025年第30期81-84,共4页
Medical Innovation of China
关键词
老年
骨折
前馈控制风险
复合保温护理
低体温
Elderly
Fractures
Feedforward risk control
Complex thermal insulation nursing
Hypothermia
