摘要
目的探讨腹腔镜宫颈癌手术患者术中体温变化的干预效果。方法选取2019年1月至2019年4月间上海市复旦大学附属妇产科医院收治的86例宫颈癌早期患者。根据采用的护理方法不同进行分组,采用常规干预的43例患者纳入对照组,采用常规干预联合术中体温干预的43例患者纳入观察组。记录两组患者手术耗时、麻醉时间及输液量,比较患者进入手术室(t1)、麻醉诱导后(t2)、切皮时(t3)、术中30min(t4)、术中60min(t5)、术中90min(t6)及术毕(t7)时间点的体温,比较患者术中低体温、寒颤、躁动及凝血功能异常不良情况发生率。结果两组患者的手术耗时、麻醉时间及输液量比较,差异无统计学意义(P>0.05)。两组患者t1~t3时间点的体温比较,差异无统计学意义(P>0.05);观察组患者t4~t7时间点的体温均正常,且高于对照组患者,差异均有统计学意义(均P<0.05)。观察组低体温、寒颤、躁动及凝血功能异常不良情况发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论有效干预术中体温能有效维持患者正常体温,预防术中低体温、寒颤及躁动不良情况发生,效果显著,值得推广。
Objective To investigate the intervention effect of intraoperative body temperature management in patients undergoing laparoscopic cervical cancer surgery.Methods A total of 86 patients pathologically diagnosed with early cervical cancer were selected from January 2019 to April 2019 at Obstetrics and Gynaecology Hospital Affiliated to Fudan University and they were divided into two groups based on the nursing they received.Forty-three patients receiving body temperature nursing intervention were included in an observation group and 43 patients receiving conventional nursing were included in a control group.The operation time,anesthesia time and infusion volume were recorded.Body temperature when patients entering into the operating room(t1),after anesthesia induction(t2),during skin incision(t3),intraoperative 30 min(t4),60 min(t5)and 90 min(t6)and at the end of operation(t7)was compared.The incidence of hypothermia,chills,agitation and abnormal coagulation was compared.Results There was no significant difference in operation time,anesthesia time and infusion volume between the two groups(P>0.05).There was no significant difference in temperature from t1 to t3 between the two groups(P>0.05).The temperature from t4 to t7 maintained normal in the observation group,which was higher than in the control group(all P<0.05).The incidence of hypothermia,chills,agitation and coagulation dysfunction was significantly lower in the observation group than in the control group(all P<0.05).Conclusion Effective intervention of intraoperative body temperature can maintain body temperature normal and prevent the occurrence of hypothermia,chills and agitation in patients undergoing laparoscopic cervical cancer surgery.The effect is remarkable and worthy of clinical popularization.
作者
滕燕清
张铭
刘莉
TENG Yan-qing;ZHANG Ming(Operating Room,Obstetrics and Gynaecology Hospital Afiliated to Fudan University,Shanghai 2000,China)
出处
《中国肿瘤临床与康复》
2020年第5期629-631,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
宫颈肿瘤
术中体温
寒颤
干预效果
Cervical neoplasms
Intraoperative temperature
Chills
Intervention effect
