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| Practical study on the clinical effect of postoperative compound heat preservation scheme in patients undergoing abdominal surgery |
| LIU Huihui LI Ning▲ |
Department of General Surgery, Peking University Third Hospital, Beijing 100191, China
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Abstract Objective To explore the practical study on the clinical effect of postoperative compound heat preservation scheme in patients undergoing abdominal surgery. Methods A total of 90 patients who received abdominal surgery in Peking University Third Hospital from January 2021 to January 2022 were selected as subjects, they were divided into routine group and intervention group by random number table method, with 45 cases in each group. After returning to the common ward, the conventional group was given routine insulation intervention, and the intervention group was given conrentiond insulation intervention. The changes of blood pressure and heart rate in the two groups were observed, and the occurrence of postoperative complications such as hypothermia and shivering were observed. Results The overall analysis results showed that there were statistically significant differences in heart rate time, intergroup and interaction between the two groups (P＜0.05), and the comparison of the interaction between the two groups of systolic blood pressure groups and the difference was statistically significant (P＜0.05). Further pairwise comparison showed that the heart rate and systolic blood pressure of the conventional group had significant changes immediately after surgery, and 15, 30 min after surgery, the differences were statistically significant (P＜0.05); there were no significant changes in the intervention group immediately after surgery, and 15, 30 min after surgery, the differences were not statistically significant (P＞0.05); comparison between groups: the intervention group had lower heart rate, and 15, 30 min after operation than the conventional group, and the differences were statistically significant (P＜0.05). The rewarming time of the intervention group was shorter than that of the conventional group, and the total incidence of postoperative complications was also lower, and the differences were statistically significant (P＜0.05). Conclusion Combined thermal insulation intervention in postoperative care of patients with abdominal surgery can better ensure that the patient’s body temperature is maintained in a good state after returning to the ward, reduce stress response, and effectively prevent the occurrence of hypothermia and related complications.
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[1] Nakagawa T，Oda G，Mori H，et al. Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap [J]. Medicina（Kaunas），2021，57（9）：952.
[2] 陶金华，王锡山，刘正，等.既往腹部手术史对腹腔镜结直肠癌手术影响的临床研究[J].中华胃肠外科杂志，2018， 21（3）：292-298.
[3] 陈金花.程序化护理对普外科腹腔镜手术患者护理质量及术后恢复影响[J].中国医药科学，2021，11（12）：116- 118.
[4] Romeo L，Bagolini F，Ferro S，et al. Laparoscopic surgery for splenic injuries in the era of non-operative management：current status and future perspectives [J]. Surg Today，2021， 51（7）：1075-1084.
[5] 费晓青，徐小春，张敏，等.复合保温对老年患者手术部位感染护理治疗的干预效果[J].中华医院感染学杂志，2019，29（9）：1433-1437.
[6] 黄宇，尹东，黄晓，等.复合保温措施对全髋关节置换术围手术期失血影响研究[J].中国矫形外科杂志，2018，26（5）：468-470.
[7] 余文静，肖瑶，胡娟娟，等.预防围手术期患者低体温的最佳证据总结[J].中华护理杂志，2019，54（4）：589-594.
[8] 韩旭亚，姜虹，吕丹，等.基于护士主导的衰弱全程管理对老年腹部手术病人干预效果的研究[J].护理研究，2021， 35（12）：2121-2127.
[9] Nascimento J，Pascoal LM，Sousa V，et al. Associations between respiratory nursing diagnoses and nursing interventions in patients submitted to thoracic or upper abdominal surgery [J]. Enferm Clin（Engl Ed），2020，30（1）：31-36.
[10] 冯惠芹，谭惠兴，胡敏.快速康复护理对妇科腹腔镜患者术后恢复的影响研究[J].中国医药科学，2019，9（16）：186-188.
[11] 陈吉祥，林铷，范昕，等.加速康复外科对胃癌合并2型糖尿病患者手术应激反应的影响[J].中华医学杂志，2022， 102（12）：847-852.
[12] 刘婷婷，欧阳玲.围术期实施复合保温对卵巢恶性肿瘤患者术后康复的影响[J].中国医科大学学报，2020，49（11）：1042-1045.
[13] 梁颖，陆颖，郭泽霞，等.腹部手术患者切口感染相关因素与护理研究[J].中华医院感染学杂志，2018，28（3）：466-469.
[14] 赵文雯，罗菁.预防腹部手术术后静脉血栓的最佳证据应用[J].解放军护理杂志，2019，36（7）：46-49
[15] 吕德平，肖会能，杨玉玲，等.腹部外科手术护理复合保温措施用于患者体温控制效果的分析[J].河北医药，2018， 40（2）：314-316
[16] 陶永红，孙荣，王倩.系统性保温措施对减少腹腔手术后并发症的效果观察[J].中华护理杂志，2008，43（8）：700-701.
[17] 梁爱群，张志刚，罗小平，等.综合性保温措施维持肝移植术中患者体温稳定的效果[J].中华护理杂志，2010， 45（6）：535-536.
[18] 吕德平，肖会能，杨玉玲，等.腹部外科手术护理复合保温措施用于患者体温控制效果的分析[J].河北医药，2018， 40（2）：314-316.
[19] 王菊梅，杨红.术中保温护理措施对妇科腹腔镜手术患者低体温及并发症的预防效果[J].实用临床医药杂志，2019，23（22）：101-103
[20] 赵颖，李荃，韩芸，等.术中保温对胃肠开腹手术患者低体温及手术部位感染的影响[J].中华医院感染学杂志，2019，29（13）：2000-2003.
[21] 刘春宏，尹利群，刘夏曦，等.复合丙泊酚时瑞芬太尼抑制妇科腹腔镜手术患者气腹反应的半数有效血浆靶浓度[J].临床麻醉学杂志，2019，35（1）：26-28.
[22] 黄云英，石伟发，尹东，等.全髋关节置换术病人围术期保温干预对氨甲环酸止血作用的影响[J].护理研究，2018， 32（22）：3617-3620.
[23] 普鹰，张莹，汤佳骏，等.腹腔镜手术患者术中低体温预测模型的构建及应用[J].中华护理杂志，2019，54（9）：1308-1312.
[24] 刘剑.手术中后期复合保温措施对颅脑手术患者低体温和不良反应的影响[J].中华现代护理杂志，2018，24（15）：1825-1827.
[25] 刘晓芳，张春艳，阎莉，等.复合保温措施在腹腔镜全子宫切除术患者手术室护理中的应用[J].中华现代护理杂志，2021，27（2）：269-272. |
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