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目的探讨保温护理在全身麻醉开腹手术患者中的应用价值。方法选取2013年1月到2014年1月在大连市友谊医院行择期手术的130例患者作为研究对象,按随机数字表法将其分为观察组与对照组,各65例。两组患者均行全身麻醉开腹手术,同时对照组患者给予常规护理,观察组患者在对照组基础上实施保温护理,比较两组患者手术前后肛温、血压、心率及术后尿量、手术时间、拔管时间、清醒时间、寒战、躁动、引流量等指标。结果术中及术后1 h,观察组患者的肛温明显高于对照组,血压、心率均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者术后尿量、引流量均明显少于对照组,手术时间、拔管时间、清醒时间均明显短于对照组,寒战、躁动发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论对全身麻醉开腹手术患者中采取适当的保温护理,可提高患者术中体温,有效避免术后并发症的发生。
Objective To investigate the value of thermal insulation in patients undergoing general anesthesia for laparotomy. Methods A total of 130 patients undergoing elective surgery in Dalian Friendship Hospital from January 2013 to January 2014 were selected as study subjects and divided into observation group and control group according to random number table method, each of 65 cases. Both groups underwent general anesthesia laparotomy while the control group were given routine care. The observation group was given thermal insulation based on the control group. The rectal temperature, blood pressure, heart rate and postoperative urine output were compared between the two groups before and after surgery Time, extubation time, awake time, chills, agitation, drainage and other indicators. Results The rectal temperature in the observation group was significantly higher than that in the control group at 1 h after operation and the blood pressure and heart rate were significantly lower than those in the control group (all P <0.05). The postoperative urinalysis Volume and drainage were significantly less than the control group, operation time, extubation time, awake time were significantly shorter than the control group, chills, agitation were significantly lower than the control group, the difference was statistically significant (P <0.05 ). Conclusion Appropriate thermal insulation nursing for patients undergoing general anesthesia laparotomy can improve intraoperative body temperature and avoid the occurrence of postoperative complications.