【摘要】 目的研究手术室积极保暖护理措施在全麻手术患者中的应用效果。方法方便选取2019年1月—2020年2月该院收治的100例行气管插管全麻手术的患者作为研究对象进行研究,按简单随机分组法将其分为观察组与对照组,每组50例。对照组患者施行常规的手术护理模式进行护理,观察组在对照组护理模式的基础上给予手术室积极保暖护理措施。比较两组患者术前、手术结束时、术后30 min以及麻醉后1 h的体温情况以及术中低体温症发生率。比较两组患者术后苏醒时间与拔管时间。比较两组患者并发症发生率。结果两组患者术前体温差异无统计学意义(P>0.05),手术结束时、术后30 min、麻醉后1 h观察组患者的体温均明显高于对照组,差异有统计学意义(t=30.920、15.519、17.160,P<0.05);观察组低体温发生率为4.00%,对照组发生率为24.00%,观察组的低体温发生率明显低于对照组,差异有统计学意义(χ~2=8.306,P=0.004);观察组患者的苏醒时间为(18.92±5.73)min、拔管时间为(22.83±7.14)min,明显短于对照组的(23.41±7.63)、(26.43±8.47)min,差异有统计学意义(t=3.327、2.298,P<0.05);观察组患者并发症发生率4.00%,明显低于对照组的28.00%,差异有统计学意义(χ~2=10.714,P=0.001)。结论手术室积极保暖护理措施能够有效维持全麻患者围手术期的体温,减少低体温及并发症发生率,加快术后复苏。更多还原

【Abstract】 Objective To study the application effect of active warmth nursing measures in the operating room in patients undergoing general anesthesia. Methods Conveniently selected 100 patients who underwent airway intubation and general anesthesia admitted to the hospital from January 2019 to February 2020 as the research objects. According to a simple random grouping method, they were divided into observation and control groups, each with 50 cases. Patients in the control group were treated with routine surgical nursing care, and the observation group was given active warmth care measures in the operating room on the basis of the nursing model in the control group. The body temperature of the two groups of patients before operation, at the end of the operation, 30 minutes after the operation, and 1 hour after anesthesia, and the incidence of hypothermia during the operation were compared. The postoperative recovery time and extubation time of the two groups were compared. The complication rate of the two groups of patients was compared. Results There was no significant difference in body temperature between the two groups before operation(P>0.05). The body temperature of the observation group was significantly higher than that of the control group at the end of the operation, 30 min after the operation, and 1 h after anesthesia, and the difference was statistically significant(t=30.920, 15.519, 17.160, P<0.05); the incidence of hypothermia in the observation group was 4.00%, and the incidence in the control group was 24.00%. The incidence of hypothermia in the observation group was significantly lower than that in the control group, and the difference was statistically significant(χ~2=8.306, P=0.004); the awake time of the observation group was(18.92±5.73) min, and the extubation time was(22.83±7.14) min, which was significantly shorter than the control group(23.41±7.63) min and(26.43±8.47) min, the difference was statistically significant(t=3.327,2.298, P<0.05); the complication rate of the observation group was 4.00%, which was significantly lower than 28.00% in the control group, and the difference was statistically significant(χ~2=10.714, P =0.001). Conclusion Active warmth care measures in the operating room can effectively maintain the perioperative body temperature of general anesthesia patients, reduce the incidence of hypothermia and complications, and speed up postoperative recovery..更多还原