摘要
目的探讨复合保温在腹腔镜全子宫切除术患者手术室护理中的应用效果。方法选取2021年6月至2023年5月济南市第三人民医院收治的50例腹腔镜全子宫切除术患者作为研究对象,以随机数字表法分为对照组与研究组,每组各25例。对照组术中给予常规保温,研究组术中给予复合保温。比较两组不同时间点核心体温、麻醉苏醒及术后恢复情况、术中及麻醉苏醒期间不良反应发生情况。结果术前,两组核心体温比较,差异无统计学意义(P>0.05);术中30 min及术后即刻,两组核心体温均低于术前,但研究组核心体温高于对照组(P<0.05)。研究组苏醒时间、麻醉后监测治疗室滞留时间、术后肛门首次排气时间及首次下床活动时间均短于对照组(P<0.05)。研究组术中及麻醉苏醒期间不良反应总发生率低于对照组(P<0.05)。结论复合保温在腹腔镜全子宫切除术患者手术室护理中应用,有助于维持患者术中、术后核心体温,促进患者麻醉苏醒及术后恢复,有效减少不良反应的发生,值得推广。
Objective To explore the application effect of composite insulation in operating room nursing of patients undergoing laparoscopic total hysterectomy.Methods Fifty patients who underwent laparoscopic total hysterectomy in Jinan Third People’s Hospital from June 2021 to May 2023 were selected as the observation objects.All the patients were divided into the control group and the study group using the random number table method,with 25 cases in each group.The control group received routine heat preservation during operation,while the study group received composite insulation during operation.The core body temperature at different time points,anesthesia recovery and postoperative recovery,and incidence of adverse reactions during operation and anesthesia recovery were compared between the two groups.Results Before surgery,there was no statistically significant difference in core body temperature between the two groups(P>0.05).At 30 minutes during surgery and immediately after surgery,the core body temperature of both groups showed a decrease compared with before surgery,but the core body temperature of the study group was higher than that of the control group(P<0.05).The awakening time,postanesthesia care unit retention time,first time of postoperative anal exhaust,and first time of getting out of bed activity of the study group were shorter than those of the control group(P<0.05).The total incidence of adverse reactions during operation and anesthesia recovery in the study group was lower than that in the control group(P<0.05).Conclusion The application of composite insulation in operating room nursing of patients undergoing laparoscopic total hysterectomy can help maintain the stability of the patients’core body temperature during and after surgery,promote anesthesia recovery and postoperative recovery,effectively reduce the incidence of adverse reactions,and is worth promoting.
作者
牟敏
MOU min(Operating Room,Jinan Third People’s Hospital,Shandong Province,Jinan 250132,China)
出处
《妇儿健康导刊》
2025年第2期121-124,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
复合保温
腹腔镜全子宫切除术
手术室护理
Composite insulation
Laparoscopic total hysterectomy
Operati ng room nursing
