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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

老年腹部手术患者实施术中系统保温护理的临床意义

张园园1 ,董青青2*

(陕西省安康市中医医院:1.手术室;2.门诊部,陕西 安康,725000)

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摘要:

目的 探讨老年腹部手术患者实施术中系统保温护理的临床意义。方法 选择我院60 例需行腹部手术的老年患者为研 究对象,按随机数字表法分为对照组和观察组,各30 例。对照组采用常规腹部手术护理,观察组在对照组基础上采取系统保 温护理,两组均为院内护理。比较两组患者的手术相关指标及术后并发症发生率。结果 观察组麻醉苏醒、胃肠功能恢复及住 院时间均短于对照组,术中出血量少于对照组,并且术后并发症总发生率低于对照组(P<0.05)。结论 系统保温护理可提高老 年腹部手术患者的临床疗效,减少术后并发症,值得在临床上推广使用。

关键词:腹部手术;系统保温护理;手术相关指标

中图分类号:R473.6 文献标志码:A文章编号:2096-1413(2018)06-0157-02

    Clinical significance of intraoperative systemic insulation nursing in elderly patients undergoing abdominal surgery
    ZHANG Yuan-yuan 1, DONG Qing-qing2 *
    (1. Operating Room; 2. Outpatient Department, Ankang Hospital of Traditional Chinese Medicine, Ankang 725000, China)

    ABSTRACT: Objective To explore clinical significance of intraoperative systemic insulation nursing in elderly patients undergoing abdominal operation. Methods A total of 60 elderly patients in our hospital who underwent abdominal surgery were selected as the study objects. According to the random number table method, 60 patients were divided into control group and observation group, with 30 cases in each group. Patients in the control group were given routine abdominal surgery nursing. Patients in the observation group were treated with intraoperative systemic insulation nursing on the basis of the control group. Both groups were treated with hospital nursing. The surgical related indicators and postoperative complications in the two groups were compared. Results The recovery time,gastrointestinal function recovery time and hospitalization time in the observation group were shorter than those in the control group, the intraoperative blood loss was less than that in the control group, the total incidence rate of complications was lower than that in the control group (P<0.05). Conclusion Intraoperative systemic insulation nursing in elderly patients undergoing abdominal surgery can improve the clinical efficacy and reduce postoperative complications, which is worthy of promotion in clinic.
    KEYWORDS: abdominal surgery; systemic insulation nursing; surgical related indicators

    参考文献:
    [1] 毕阳,周荣胜,刘齐宁.全身麻醉下不同体温保护方法对患者术中中心体温的影响[J].临床医学研究与实践,2016,1(5):1-2.
    [2] 杨燕萍,沈梅芬.预防围术期老年患者低体温的研究进展[J].山西医药杂志,2014,58(24):2882-2884.
    [3] 王静,韩晓莲,焦婷,等.护理干预对老年患者全身麻醉术后低体温的影响[J].中国药物与临床,2013,13(5):683-684.
    [4] 李丽,贾风菊,王梅新.护理人员实施术中低体温护理干预的现状及相关因素分析[J].中华现代护理杂志,2016,22(20):2819-2824.
    [5] 刘晓辉,刘冬华,任春光.全身麻醉患儿术后恢复期保温措施研究[J].护理学杂志,2016,31(22):38-40.
    [6] 郝丽华,王新.老年患者麻醉手术期出现低体温的临床回顾与分析[J].中国药物与临床,2016,16(14):1687-1688.
    [7] 张琼,马骏,张慧,等.术中低体温对高龄股骨转子间骨折围手术期并发症发生的影响[J].浙江医学,2012,34(12):1089-1091.
    [8] 吴昭英,孔庆霞,褚旭,等.脑出血患者体温变化与预后的临床研究[J].实用心脑肺血管病杂志,2012,20(1):32-34.
    [9] 刘辉,李韶玲,海燕,等.系统性保温干预对小儿微创取石术围手术期体温影响的研究[J].护理管理杂志,2015,15(1):51-52.
    [10] 张悦,夏玲,姜云.外科手术中低体温的护理干预研究进展[J].护士进修杂志,2012,27(17):1556-1558.
    [11] 李丽琼,兰静.术中保温护理对肝癌患者低体温发生率及凝血功能的影响[J].河北医学,2015,21(9):1545-1548.

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