摘要
目的 观察术中综合保温措施对腹部手术患者核体温及术后康复的影响。方法 选取2017年8月~2018年4月于我院进行腹部手术患者110例为研究对象，简单随机抽样法将110例腹部手术患者随机分为对照组和观察组，每组55例。对照组给予常规保温措施，观察组在对照组基础上使用升温毯；比较两组术前及术中30、60、90min、术毕核体温及低体温发生率，比较两组术中和术后1、2、4、8、12h的失血量，统计术后苏醒时间、住院时间及手术部位感染率。结果 观察组术中及手术结束时核体温高于对照组（P <0.05），对照组围术期低体温发生率高于观察组（P <0.05），观察组手术中和手术后失血量明显低于对照组（P <0.05），观察组术后手术部位感染率低于对照组（P <0.05），苏醒时间和住院时间明显短于对照组（P <0.05）。结论 采用术中综合保温措施可以稳定患者核体温水平，降低出血率并减少术后感染率，使患者尽快康复出院。
关键词： 保温措施；核体温；腹部手术；感染率
Abstract
Objective: To observe the effect of comprehensive heat preservation measures during operation on the nuclear body temperature and postoperative rehabilitation of patients undergoing abdominal surgery. Methods: A total of 110 patients undergoing abdominal surgery in our hospital from August 2017 to April 2018 were selected as the research objects. 110 patients with abdominal surgery were randomly divided into control group and observation group by simple random sampling method, with 55 cases in each group. The control group was given conventional heat preservation measures, and the observation group used a warming blanket on the basis of the control group; compared the two groups before and during the operation 30, 60, 90 minutes, postoperative nuclear body temperature and the incidence of hypothermia, and compared the two groups during and after the operation The blood loss at 1, 2, 4, 8, and 12 hours, the postoperative wake-up time, hospital stay, and surgical site infection rate were counted. Results: The nuclear body temperature of the observation group was higher than that of the control group during and at the end of the operation (P <0.05). The incidence of perioperative hypothermia in the control group was higher than that of the observation group (P <0.05). The observation group lost blood during and after the operation Significantly lower than the control group (P <0.05), the postoperative infection rate of the operation site in the observation group was lower than the control group (P <0.05), and the recovery time and hospital stay were significantly shorter than the control group (P <0.05). Conclusion : The use of comprehensive heat preservation measures during operation can stabilize the patient's nuclear body temperature, reduce the bleeding rate and the postoperative infection rate, so that the patient can recover and discharge as soon as possible.
Key words： Thermal Insulation Measures; Nuclear Body Temperature; Abdominal Surgery; Infection Rate
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