Application effect of compound thermal insulation nursing after children complex congenital heart surgery
XIONG Ying1 YANG Shuang2▲
1.The First Department of Neurology,Fushun Central Hospital,Liaoning Province,Fushun 113000,China;
2.Department of Nursing,Fushun Central Hospital,Liaoning Province,Fushun 113000,China
摘要目的 探讨复合式保温护理在小儿复杂先心术后的应用效果。方法 选取2012年12月～2016年12月我院诊治的68例小儿先天性心脏病患者，均行小儿复杂先天性心脏病手术治疗，采用随机数字表法分为对照组和观察组，每组各34例。对照组实施常规护理，观察组实施复合式保温护理，比较两组围术期（手术开始时、手术30、60、90 min 及手术结束时）生命体征指标（体温、心率、平均动脉压）的改变情况、舒适度、并发症发生情况。结果 观察组手术30、60、90 min 及手术结束时体温与平均动脉压高于对照组，差异有统计学意义（P<0.05）。观察组手术30、60、90 min 及手术结束时心率低于对照组，差异有统计学意义（P<0.05）。观察组围术期舒适度优于对照组，差异有统计学意义（P<0.05）。观察组并发症总发生率为2.9%，低于对照组的20.6%。差异有统计学意义（P<0.05）。结论 复合式保温护理可提高小儿复杂先天性心脏病手术患儿围术期安全性，稳定血流动力学指标，值得临床推广使用。
Abstract：Objective To investigate application effect of compound thermal insulation nursing after children complex congenital heart surgery.Methods A total of 68 children with congenital heart disease were selected in our hospital from December 2012 to December 2016，they were divided into control group and observation group by random number table method,34 cases in each group.The control group received routine nursing,the observation group received composite thermal insulation nursing.Changes of vital signs (body temperature,heart rate,mean arterial pressure) during perioperative period (beginning of operation,30，60,90 minutes,and the end of operation),comfort degree,complications were compared between two groups.Results Temperature and mean arterial pressure at times of operation 30,60,90 min,and the end of operation in observation group were higher than those of the control group,while differences were statistically significant (P<0.05).Heart rate at times of operation 30,60,90 min,and the end of operation in observation group were lower than those of the control group,while differences were statistically significant (P<0.05).Perioperative comfort degree in observation group was better than that of the control group,while difference was statistically significant (P<0.05).The incidence of complications in observation group was 2.9%,which was lower than that of the control group 20.6%,while difference was statistically significant (P<0.05).Conclusion Composite thermal insulation nursing can improve perioperative safety in children with complex congenital heart disease,which can stable hemodynamics and worth of clinical use.
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