|
|
|
| Effect of comprehensive temperature-holding measures on perioperative body temperature and postoperative recovery in patients undergoing gynecological surgeries |
| XIAO Ying HUANG Wei XU Chao FENG Miao-qian |
| Department of Anesthesiology,Zhongshan Bo′ai Hospital,Guangdong Province,Zhongshan 528400,China |
|
|
|
|
Abstract Objective To explore the effect of comprehensive temperature-holding measures on perioperative body temperature,postoperative recovery and adverse events in patients undergoing gynecological surgeries.Methods Ninety-six patients undergoing gynecological surgeries admitted to Zhongshan Bo′ai Hospital,Guangdong Province from February 2019 to April 2020 were selected as the research subjects.They were divided into the control group(n=48)and the observation group(n=48)according to the random number table method.In the control group,routine heat preservation care was used,and in the observation group,comprehensive temperature-holding measure was adopted.The body temperature,postoperative recovery indicators,and total incidence of adverse events were compared between the two groups.Results There was no significant difference in body temperature between the two groups when entering the operation room(P＞0.05).The body temperature of the observation group was(36.48±0.47)℃at the end of the operation,higher than that of the control group of(36.12±0.35)℃,and the difference was statistically significant(P＜0.05).The time of postoperative spontaneous breathing,awakening,extubation,peristalsis,and hospital stay were(15.28±3.61),(24.63±4.13),(27.28±4.47)min,(14.28±3.62)h,(5.67±1.23)d,shorter than those of the control group of(19.04±3.33),(29.55±4.06),(34.34±4.69)min,(19.42±3.51)h,and(7.30±1.55)d,with statistical differences(P＜0.05).The total incidence of adverse events in the observation group was 4.16%,lower than that of the control group accounting for 18.75%,and the difference was statistically significant(P＜0.05).Conclusion Comprehensive temperature-holding measures can effectively maintain the perioperative body temperature of patients undergoing gynecological surgeries,shorten the time of awakening from anesthesia and extubation,reduce the incidence of adverse events such as chills and restlessness,and speed up the recovery process after surgery.
|
|
|
|
|
|
| [1] |
李燕萍，庄敏.气腹加温对妇科腹腔镜手术患者体温及术后恢复的影响[J].上海护理，2018，18（12）：50-52.
|
| [2] |
李桂芝，李燕，刘燕，等.麻醉诱导期不同预保温措施对胃肠开腹手术老年患者围术期体温的影响[J].现代临床护理，2020，19（1）：34-38.
|
| [3] |
孙贾珍，田琛霞.综合性保温干预对妇科盆腔肿瘤手术患者凝血功能及并发症的影响[J].海南医学，2019，30（7）：939-942.
|
| [4] |
谭林娟，李家勇，张圣洁，等.联合保温措施对妇科癌症腹腔镜手术患者核心体温的影响[J].中国医刊，2019，54（12）：1382-1384.
|
| [5] |
倪荔，庄惠人.不同保温方法对普外科开腹手术患者苏醒时间及术后恢复的影响[J].解放军护理杂志，2018，35（23）：57-61.
|
| [6] |
袁琴，陈家驹，杨洁.复合保温措施对腹腔镜全子宫切除术病人术中低体温及术后复苏期的影响[J].蚌埠医学院学报，2019，44（7）：966-969.
|
| [7] |
赵香琴，王凤，余红.“路径式”综合保温在妇科腔镜手术患者中应用的效果[J].国际护理学杂志，2018，37（16）：2214-2217.
|
| [8] |
曹菁芩，唐巧丽，蔡聪聪.围术期一体化保温模式在腹腔镜下先天性巨结肠手术中的应用[J].中国医药导报，2019，16（19）：177-180.
|
| [9] |
陈旭，伍励.围麻醉期综合保温措施对全麻后寒战和苏醒时间的影响[J].中国计划生育和妇产科，2019，11（2）：59-61.
|
| [10] |
孙琼，姜慧萍.术中综合保温护理在预防妇科手术患者低体温中的效果[J].中国药物与临床，2019，19（12）：2129-2131.
|
| [11] |
陈红，张淼，李锐.综合保温对妇科腹腔镜手术患者复苏期并发症的影响[J].安徽医学，2018，39（1）：45-47.
|
| [12] |
肖蒙，伏鑫，周学颖，等.围术期系统保温在开腹手术患者加速康复外科中的应用[J].长春中医药大学学报，2020，36（3）：563-566.
|
| [13] |
宋伟娜，公凤霞.体温管理对开腹手术患者术中低体温及免疫应激反应的影响[J].结直肠肛门外科，2018，24（2）：104-105.
|
| [14] |
饶裕泉，张冰，袁开明，等.不同保温方法对脊柱手术患者围术期核心体温和恢复情况的影响[J].临床麻醉学杂志，2019，35（3）：266-269.
|
| [15] |
吕德平，肖会能，杨玉玲，等.腹部外科手术护理复合保温措施用于患者体温控制效果的分析[J].河北医药，2018，40（2）：314-316.
|
|
|
|
