摘要
目的探讨针对性护理对胃癌根治术患者术中低体温发生率的控制效果。方法选取2018年1月—2019年1月于济源市第二人民医院将行胃癌根治术的70例患者,按入院顺序分为对照组和观察组,每组各35例。对照组术中采用常规护理,观察组术中采用针对性护理。观察比较两组患者手术恢复指标,体温情况,低体温发生率及术后并发症情况。结果观察组术中出血量、下床时间及出院时间等指标均优于对照组(P<0.05)。麻醉后1 h和手术结束后观察组体温均高于对照组(P<0.05)。观察组低体温发生率低于对照组(P<0.05)。观察组液体外渗、电灼伤及压疮等并发症发生率低于对照组(P<0.05)。结论针对性护理可有效改善胃癌根治术患者手术指标,维持其术中体温恒定,有效控制低体温发生率,且术后并发症发生率更低,对患者治疗具有重要意义,值得推荐。
Objective To investigate the effects of targeted nursing on the incidence of intraoperative hypothermia in patients un?dergoing radical gastrectomy for gastric cancer.Methods 70 patients who underwent radical gastrectomy in the hospital from January,2018 to January,2019 were selected and divided into two groups according to the order of admission,with 35 cases in each group.The control group received routine intraoperative nursing,while the observation group received targeted intraoperative nursing.Re?sults Intraoperative blood loss,time of getting out of bed and time of discharge in the observation group were all better than those in the control group(P<0.05).The body temperature of the observation group was higher than that of the control group at post-anesthesia 1 h and post-operation(P<0.05).The incidence of hypothermia in the observation group was lower than that in the control group(P<0.05).The incidence of fluid extravasation,electric burn and pressure ulcer in the observation group was lower than that in the control group(P<0.05).Conclusion Targeted nursing can effectively improve the surgical indicators of patients undergoing radical gastrecto?my,maintain the intraoperative body temperature,effectively control the incidence of hypothermia and postoperative complicationsr,which is of great significance to the treatment of patients.So it is worthy of recommendation.
作者
李燕妮
LI Yan-ni(Surgery Department,Jiyuan Second People’s Hospital,Jiyuan,Henan,459000,China)
出处
《黑龙江医学》
2019年第11期1401-1403,共3页
Heilongjiang Medical Journal
关键词
针对性护理
胃癌患者
胃癌根治术
低体温发生率
Targeted nursing
Gastric cancer patients
Radical gastrectomy
Hypothermia incidence rate
