The application effect of insulation nursing in patients undergoing ureteroscopic laser lithotripsy during anesthesia recovery period
保温护理在麻醉苏醒期输尿管镜激光碎石手术患者中的应用效果

摘要

目的 研究保温护理在麻醉苏醒期输尿管镜激光碎石手术患者中的应用效果。方法 选取90例在2021年3月至2022年3月进行输尿管镜激光碎石手术的患者，随机分为常规组和保温组，每组45例。常规组实施常规体温护理和术前术后常规护理，保温组在此基础上加强术前、术中和术后的保温措施。结果 保温组的心率、收缩压、去甲肾上腺素、肾上腺素及C反应蛋白等生理指标均显著低于常规组（P<0.05），且保温组的躁动不安、苏醒延迟、体温较低、寒战寒颤的发生率明显低于常规组（P<0.05）。结论 保温护理在麻醉苏醒期输尿管镜激光碎石手术患者中的应用能有效降低生理应激反应和并发症发生率，在麻醉苏醒期输尿管镜激光碎石手术患者的临床应用中，具有重要的价值。

Abstract

Objective To study the application effect of insulation nursing in patients undergoing ureteroscopic laser lithotripsy during anesthesia recovery period. Method 90 patients who underwent ureteroscopic laser lithotripsy surgery from March 2021 to March 2022 were randomly divided into a conventional group and a thermal insulation group, with 45 patients in each group. The routine group implements routine temperature care and preoperative and postoperative routine care, while the insulation group strengthens preoperative, intraoperative, and postoperative insulation measures on this basis. The physiological indicators such as heart rate, systolic blood pressure, norepinephrine, adrenaline, and C-reactive protein in the insulation group were significantly lower than those in the control group (P<0.05), and the incidence of restlessness, delayed awakening, lower body temperature, and shivering in the insulation group was significantly lower than that in the control group (P<0.05).
Conclusion   The application of thermal insulation nursing in patients undergoing ureteroscopic laser lithotripsy during anesthesia recovery can effectively reduce physiological stress reactions and the incidence of complications. It has important value in the clinical application of ureteroscopic laser lithotripsy during anesthesia recovery.