基于复合保温干预的手术室护理在剖宫产产妇中的应用效果

doi:10.20047/j.issn1673-7210.2022.25.37

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Abstract Objective To explore the application effect of operating room nursing based on compound insulation intervention in temperature control of cesarean delivery. Methods A total of 105 cases of women undergoing cesarean section in Xuancheng Central Hospital, Anhui Province from June 2019 to May 2021 were selected as the research subjects, and they were divided into control group 52 cases and experimental group 53 cases by random number table method. Routine thermal insulation intervention was used in the control group and compound thermal insulation intervention was used in the experimental group. Temperature change, incidence of hypothermia and chills, and thermal comfort score were compared between the two groups during childbirth and obstetrics. The changes of coagulation indexes before and after operation were compared between the two groups. Results Tympanic membrane temperature was different at different time and group, and there was an interaction between time and group (P ＜ 0.05). Comparison within the group showed that the temperature of maternal tympanic membrane in the control group was lower than that in the same group to the operating room (T0) at the time of skin incision (T2), fetal delivery (T3), fetal delivery 10 min (T4), fetal delivery 20 min (T5), fetal delivery 30 min (T6), and the end of operation (T7) (P ＜ 0.05). At T4 - T7, the temperature of maternal tympanic membrane in test group was lower than that at T0 (P ＜ 0.05). At (T1), T2 - T7, the temperature of the tympanic membrane in experimental group were higher than that in control group (P ＜ 0.05). The rates of hypothermia and chills in the experimental group were lower than those in the control group (P ＜ 0.05). Postpartum thermal comfort score of experimental group was lower than that of control group (P ＜ 0.05). The values of prothrombin time (PT), activated partial thromboplastin time (APTT), and thrombin time (TT) in the control group were higher than those before operation (P ＜ 0.05), while fibrinogen (FIB) was lower than that before operation (P ＜ 0.05). The values of PT, APTT, and TT in experimental group were lower than those in control group (P ＜ 0.05), and FIB value was higher than that in control group (P ＜ 0.05). Conclusion Operating room nursing based on compound insulation intervention can help maintain the relative stability of maternal body temperature, reduce the incidence of hypothermia and chills, enhance maternal thermal comfort, and also have a certain protective effect on coagulation function.

Key words： Cesarean section Composite insulation Low temperature Chills

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	YUAN Huijuan BAO Yiyong PAN Xinlan

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YUAN Huijuan BAO Yiyong PAN Xinlan. Application effect of operating room nursing based on compound thermal insulation intervention of cesarean delivery women[J]. 中国医药导报, 2022, 19(25): 163-167.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.25.37 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I25/163

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