加温灌注液对经尿道前列腺切除术患者术中体温的影响

目的 探讨经尿道前列腺切除术中应用不同温度电切灌注液对患者体温变化的影响,并提出相关护理对策.方法 66例患者随机分为加温组和常温组,均在相同的室温下进行手术.加温组35例使用以温箱加温到37 ℃的灌注液,常温组使用以室温23℃下放置的灌注液.监测患者手术开始后30,60.90 min和手术结束时体温,同时观察寒战的发生率.结果 与术前基础体温相比,常温组患者在手术开始后60 min和90 min以及手术结束时体温均显著下降(P<0.05),加温组患者术中各时间点和手术结束时体温均无显著性差异.手术开始后60 min和90 min以及手术结束时常温组的体温均显著低于加温组(P<0.05).加温组的寒战发生率显著低于常温组(P<0.01).结论术中使用加温灌注液,可有效预防经尿道前列腺切除术患者术中低体温和寒战的发生.

The Influence of Warming Perfusion Fluid on Patient's Body Temperature during Transurethral Resection Prostate

Objective To explore the influence of two different temperature perfusion fluid on patient＇s body temperature during the transurethral resection prostate and to provide relative nursing processes. Methods Sixty- six patients who underwent transurethral resection prostate were divided into two groups according to the temperature perfusion fluid. Warming group used thermostat to maintain the perfusion fluid＇s temperature（37℃ ） and the perfusion fluid＇s temperature in room temperature group is the same as the room temperature（23℃ ）. The patients＇ oral temperature were recorded at the beginning of surgery and 30,60,90 min during surgery and at the end of surgery. The two group＇s incidence of chill were also recorded. Results Compared with at the beginning of surgery,the the oral temperature of 60,90 min during surgery and at the end of surgery were significantly lower in room temperature group（ P〈0.05）, and were no significantly lower in warming group. Compared with the warming group, the oral temperature at the beginning of surgery, 60,90 min during surgery and at the end of surgery were significantly lower in room temperature group（P〈0. 05）.The warming group＇s incidence of chill was significantly lower than room temperature group（ P〈0.01）. Conclusions Warming peffusion fluid can effectively avoid hypothermia and decrease the incidence of chill during transurethral resection prostate.