对胸外科手术患者浅低温综合护理干预的效果评价

目的降低胸外科手术患者浅低温的发生率，提高围术期的护理质量。方法将普通胸外科手术患者各155例分为两组，比较手术患者浅低温综合护理干预的临床效果。对照组为常规护理；实验组采取如下干预方法：恒定室温、冲洗体腔盐水加温、铺垫38℃水循环变温毯、手术裸露部位用不同形状棉毯保护、热空气暖风装置保护体温，并制定手术患者浅低温预防的护理常规、流程、制度。评价指标为：患者年龄、手术时间、切口感染、肺部感染和浅低温发生率。结果两组浅低温发生率分别为57．41％、18．06％；切口感染率分别为8．38％、0．64％；肺部感染率分别为29．67％、5．8％。3项评价指标均有显著性差异（P〈0．01）。结论胸外科围术期患者的体温保护应成为手术室的护理常规，体温保护是提高围术期患者的护理质量、降低术后并发症的重要影响因素，应成为胸外科手术护理不可忽视的重要护理内容。

Outcome Evaluation of Comprehensive Nursing Intervention of Mild Hypothermia in Patients Receiving Thoracic Surgery

Objective To reduce the incidence of mild hypothermia in patients receiving thoracic surgery,so as to improve the nursing quality of the perioperative period. Methods Totally 310 pa- tients undergoing chest surgery were evenly divided into control group and experimental group. Patients in the control group were cared routinely and those in experimental group were given the following care：constant room temperature,warm lavage solution, application of 38~C water blan- ket underneath, application of different shapes of blanket to exposed body parts during operation, and air-heating equipment for maintaining the body temperature. Moreover,we established a nurs- ing routine, flowchart and policy for operation patients to avoid mild hypothermia. The evaluation parameters included the patient＇ s age, operation time, incision infection rate, pulmonary infection rate, and incidence of mild hypothermia. Results The incidences of mild hypothermia in control group and experimental group were 57.41% and 18.06%, respectively（ p〈0.01）;the incision infection rates were 8.38 and 0.64% ,respectively（ p〈0.01） ;the pulmonary infection rates were 29.67% and 5.8% ,respectively（ P〈0.01）. Conclusion Body temperature protection during the perioperation period should become a routine in operation room. Up-regulation of nursing quality during perioperation period is a key factor to reduce post-operation complications and should be an important content for modern operational nursing.