经皮肾镜术中保温护理的效果评价

目的探讨在经皮肾镜手术中的保温护理,观察对患者的影响。方法62例经皮肾镜手术患者随机分为对照组和观察组,对照组30例,观察组32例,对照组采用一般保温措施及手术配合方法,使用室温(22℃)下放置的液体及灌注液,重点考虑与麻醉、手术医生的配合,观察组应用综合保温措施,并在手术配合上进行了改进。观察两组患者术前、术中、术毕和术后2h体温变化。结果实施保温措施后观察组在术中、术毕及术后2h的体温与术前体温比较差异无统计学意义(p>0.05),而对照组术中、术毕体温较术前明显下降,比较差异有统计学意义(p<0.05)。观察组患者术后寒战、躁动及低体温的发生率明显低于对照组,比较差异有统计学意义(p<0.05)。结论术中应用综合保温措施可使经皮肾镜手术患者保持正常体温,有效防止术中及术后体温下降,并减少围手术期的并发症。

EVALUATE THE EFFECT OF NURSING COUNTERMEASURES TO PRESERVE BODY TEMPERATURE DURING THE PERCUTANEOUS NEPHROSCOPE

Objective Explore the effect of preserving body temperature during the percutaneous nephrolithotomy. Methods 62 patients undergoing percutaneous nephrolithotomy were randomly divided into two groups, 30 cases in the control group, 32 cases in the experimental group; the former apply usual heat preservation method, operation cooperation and liquid and perfusion fluid under room temperature （ 22 ℃ ）. Pay attention to the cooperation of anesthesia and surgeon. The latter apply for mix heat preservation method, and improve the operation cooperation. Observe the temperature changes before operation, during operation, right after operation and 2 hours after operation. Results After taking measures of preserving body temperature, there was no statistical significance in body temperature changes during operation, right after operation and 2 hours after operation compared with body temperature before operation in the experimental group （ P 〉 0. 05 ）, ; while the body temperature in the control group decreased during operation and right after operation, compared with pre - operation and it was statistically significant in the control group （ 〈 0. 05）. The incidence of shivering, dysphoria and hypothermia in the experimental group is significantly lower than that of control group （ P 〈 0. 05）. Conclusion Countermeasures of preserving body temperature during the percutaneous nephrolithotomy could keep patients within normal body temperature, and prevent the decrease of body temperature during operation and post - operation and reduce the complication during peri -operation period.