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目的分析复合保温护理在胸腔镜肺叶切除术患者中的应用效果。方法选取2013年11月—2016年11月在湖北省天门市第一人民医院行胸腔镜下肺叶切除术的患者80例,采用随机数字表法分为对照组和观察组,每组40例。对照组患者采用常规手术室保温护理,观察组患者在常规手术室保温护理基础上给予复合保温护理。比较两组患者手术相关指标(包括引流时间、失血量、引流量、手术时间),住院时间,术前、手术30 min、手术60 min、手术120 min及手术结束时直肠温度,寒战评分,寒冷舒适度评分,术后并发症发生情况。结果两组患者引流时间、失血量、引流量、手术时间及住院时间比较,差异无统计学意义(P>0.05)。两组患者术前、手术30 min、60 min、120min及手术结束时直肠温度比较,差异无统计学意义(P>0.05)。观察组患者寒战评分、寒冷舒适度评分优于对照组(P<0.05)。观察组患者术后并发症发生率低于对照组(P<0.05)。结论复合保温护理可有效减轻胸腔镜肺叶切除术患者寒战的发生,提高患者寒冷舒适度,降低术后并发症发生率。
Objective To analyze the effect of composite thermal insulation in patients undergoing thoracoscopic lobectomy. Methods From November 2013 to November 2016, 80 patients undergoing thoracoscopic lobectomy in Tianmen First People’s Hospital of Hubei Province were divided into control group and observation group with 40 cases in each group. Patients in the control group were treated with conventional operation room thermal insulation and the patients in the observation group were given thermal insulation based on conventional operation room thermal insulation. The operation-related indexes (including drainage time, blood loss, drainage and operation time), hospital stay, preoperative, operation 30 min, operation 60 min, operation 120 min and rectal temperature, chills score, cold Comfort score, the incidence of postoperative complications. Results There was no significant difference in drainage time, blood loss, drainage volume, operation time and hospital stay between the two groups (P> 0.05). There was no significant difference between the two groups in preoperative rectal temperature at 30 min, 60 min, 120 min and at the end of operation (P> 0.05). The chills score and cold comfort score in the observation group were better than those in the control group (P <0.05). The incidence of postoperative complications in observation group was lower than that in control group (P <0.05). Conclusions Compound thermal insulation can effectively reduce the occurrence of chills in patients undergoing thoracoscopic lobectomy, improve cold comfort and reduce the incidence of postoperative complications.