术中保温对预防经尿道前列腺电切术患者发生寒战的观察及体会

目的:观察术中保温对预防经尿道前列腺电切术患者发生寒战的效果。方法:将24例经尿道前列腺电切术患者随机分为保温组和对照组,每组各12例,保温组患者采用加温至38℃灌洗液(生理盐水)进行膀胱冲洗,以及给患者予保温护理;对照组患者术中不采用任何保温措施,使用室温灌洗液进行膀胱冲洗。通过测定术前及术后核心体温,比较2组发生寒战情况。结果:保温组患者术中体温维持稳定,手术前后体温无明显变化,平均降低0.15℃,对照组患者术中体温显著下降,与术前及保温组比较均显著下降1.7～3.0℃(P﹤0.05),而保温组寒战发生率显著低于对照组(P﹤0.01)。结论:TURP采用术中保温措施可维持患者体温的恒定,有效降低寒战的发生率,维持患者生命特征的稳定,减少手术并发症及促进术后康复,提高患者的舒适度。

Observation on preventive effects of shivering for patients with transurethral prostatectomy by warming during the operation

Objective:To observe the effects of shivering for patients with transurethral prostatectomy by warming during the operation.Methods:24 cases of patients with transurethral prostatectomy were divided randomly into warming group and control group,and each group was 12 patients.In the warming group patients were flushed by warm irrigation fluid(38 ℃ physiological saline solution),while patients in the control group without any warming measures.By measuring the core temperature(T) for all the patients,the shivering rate were compared between the two groups.Results: There were no significant difference in warming group compared with preoperation level.The temperature decreased significantly(about 1.7~3.0 ℃) in control group compared with preoperation level and warming group(P﹤0.05).Shivering rate was significantly lower in warming group than that of in control group(P﹤0.01).Conclusions: Intraoperative warming can help to maintain the temperature in normal level and decrease shivering rate,to stabilze vital signs and reduce complications,and to improve comfort index of patients during transurethral prostatectomy.