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水循环式变温毯在胃肠外科手术中患者体温维持中的效果
田婷      袁蓓      王芳▲
空军军医大学第一附属医院外科手术室,陕西西安   710032
Effect of water circulating thermotropic blanket on maintaining body temperature in gastrointestinal surgery
TIAN Ting   YUAN Bei   WANG Fang▲
Surgical Operating Room, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi, Xi’an   710032, China
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摘要 目的 探讨水循环式变温毯在胃肠外科手术中患者体温维持中的效果。 方法 选取2017年6月至2019年8月空军军医大学第一附属医院外科手术室胃肠外科拟行手术治疗的135例患者,采取随机数字表法将其分为对照组68例和变温组67例。对照组给予常规护理,变温组在对照组的基础上给予水循环式变温毯护理,比较两组术中体温变化情况、清醒时间、拔管时间及输液和冲洗总量。 结果 整体分析发现:组间比较、时间点体温比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,两组术中各时间点体温比较,差异有统计学意义(P<0.05);变温组术中30、60、90 min及手术结束时体温高于对照组,差异有统计学意义(P<0.05)。变温组清醒时间、拔管时间短于对照组,输液和冲洗总量低于对照组,差异有统计学意义(P<0.05)。 结论 胃肠外科手术患者术中联合应用凝胶啫喱垫联合水循环变温毯,可在预防压疮基础上,增强核心体温稳定的控制效果,缩短清醒和拔管时间,降低术中输液和冲洗总量,避免术中发生体温变化所致并发症。
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田婷 袁蓓 王芳▲
关键词 水循环变温毯胃肠外科手术治疗体温维持
    
Abstract:To investigate the effect of water circulating thermotropic blanket on maintaining body temperature in gastrointestinal surgery. Methods A total of 135 patients with gastrointestinal surgery in the Surgical Operating Room, the First Affiliated Hospital of Air Force Medical University from June 2017 to August 2019 were selected, the patients were divided into control group 68 cases, and variable temperature group 67 cases by random number table method, the control group was given routine nursing, on the basis of the control group, the variable temperature group was given water circulation variable temperature blanket care, the changes of body temperature, waking time, extubation time, and total amount of infusion and irrigation were compared between the two groups. Results The overall analysis showed that there were statistically significant differences between groups, at body temperature time point comparison and interaction (P<0.05). Further pairwise comparison showed that the intraoperative temperature of the two groups at each time point were statistically significant (P<0.05). The body temperature of the variable temperature group was higher than that of the control group at 30, 60, 90 min and the end of operation, and the differences were statistically significant (P<0.05). The waking time and extubation time of variable temperature group were shorter than those of control group, and the total amount of infusion and irrigation was lower than that of control group, and the differences were statistically significant (P<0.05). Conclusion For patients undergoing gastrointestinal surgery, the combination of gel pads and water circulation temperature blanket can enhance the control effect of core body temperature stability, shorten the time of wakefulness and extubation, reduce the total amount of intraoperative infusion and irrigation, and avoid complications caused by intraoperative temperature changes on the basis of preventing pressure ulcers.
Key wordsWater cycle warming blanket    Gastrointestinal surgery    Surgical treatment    Body temperature maintenance
    
基金资助:陕西省重点研发计划项目(2018ZDXM-SF-082)。
通讯作者: ▲通讯作者   
引用本文:   
田婷 袁蓓 王芳▲. 水循环式变温毯在胃肠外科手术中患者体温维持中的效果[J]. 中国医药导报, 2023, 20(4): 177-179,184.
TIAN Ting YUAN Bei WANG Fang▲. Effect of water circulating thermotropic blanket on maintaining body temperature in gastrointestinal surgery. 中国医药导报, 2023, 20(4): 177-179,184.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.04.40     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I4/177

 

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