摘要
目的探讨老年患者胸腔镜袖状肺切除术中应用综合性体温保护的效果。方法选取行胸腔镜袖状肺切除术的肺癌老年患者54例,随机分为对照组和观察组,各27例。对照组给予常规保温护理干预,观察组给予综合性体温保护护理干预。比较2组患者进入手术室(T1)、手术开始时(T2)、术中60 min(T3)、手术结束时(T4)以及麻醉苏醒时(T5)体温变化情况。比较2组患者手术时间、胸内操作时间、清醒时间、术中出血量、PACU停留时间以及术后引流量。比较2组患者麻醉苏醒期寒战发生情况。结果观察组T3、T4、T5时刻体温均高于对照组,差异有统计学意义(P<0.05)。观察组术后麻醉清醒时间、PACU停留时间、术中出血量及术后引流量均低于对照组,差异有统计学意义(P<0.05)。观察组寒战分级程度轻于对照组(Z=2.209,P=0.027),寒战发生率低于对照组(χ^2=5.594,P=0.018)。结论综合性保温护理干预可以有效稳定老年胸腔镜袖状肺切除术患者术中体温,缩短患者术后麻醉清醒时间,减少术中出血量,降低寒战发生率。
Objective To investigate the effect of comprehensive warming measures for elderly patients requiring thoracoscopic sleeve lobectomy sleeve lobectomy. Methods Totally 54 elderly patients undergoing thoracoscopic sleeve lobectomy were randomly divided into the control group and the observation group, with 27 cases in each group. The control group was given measures to keep the patients’ body temperatures in an appropriate range, and the observation group was given comprehensive warming measures. The core body temperature at time of entering the operation room(T1), onset of surgery(T2), 60 minutes after onset of surgery(T3), end of surgery(T4) and time of anaesthetic awakening(T5) was recorded. The duration of operation, time of intrathoracic procedure, awakening time from anesthesia, intraoperative blood loss, duration of stay in PACU and amount of postoperative drainage were compared between two groups. Results The patients’ body temperature in the observation group was higher than that in the control group at T3、T4、T5, respectively(P<0.05). Patients in the observation group had a shorter awakening time from anesthesia, shorter duration of stay in PACU, lower amount of intraoperative blood loss and lower amount of postoperative drainage compared with those in the control group(P<0.05). The severity of shivering was significant lower in the observation group than that in the control group(Z=2.209,P=0.027), and incidence of shivering was significant lower in the observation group than that in the control group(χ^2=5.594,P=0.018). Conclusion The comprehensive warming measures are effective to maintain core temperature of elderly patients undergoing thoracoscopic sleeve lobectomy, shorten the awakening time from anesthesia, reduce the intraoperative blood loss and risk of shivering.
作者
余淇美
杨丽娜
杨慧
YU Qimei;YANG Lina;YANG Hui(Operating Room,Wuxi Second People's Hospital,Wuxi,Jiangsu,214002;Operating Room,People's Hospital of Yangzhong City,Yangzhong,Jiangsu,212200)
出处
《中西医结合护理（中英文）》
2019年第11期89-92,共4页
Journal of Clinical Nursing in Practice
关键词
老年患者
体温保护
胸腔镜
低体温
肺切除
寒战
elderly patients
warming measures on core temperature
thoracoscopy
hypothermia
pneumonectomy
shivering
作者简介
通信作者:杨慧,E-mail:33dc@163.com。
