摘要: |
【摘要】 目的:探讨保温护理对老年患者术中低体温及手术应激反应的影响。方法:选取我院收治的老年择期手术患者128例,随机分为对照组和观察组,各64例。对照组实施常规护理,观察组在其基础上实施综合保温护理,比较两组术中低体温发生率、手术前后各应激指标和术后并发症发生情况。结果:观察组患者术后低体温发生率(占28.13%)低于对照组(占76.56%)(P<0.05)。术后两组CRP、AD和NE水平均高于麻醉前(P<0.05),观察组上述指标水平明显低于对照组(P<0.05),术后寒战和躁动发生率低于对照组(P<0.05)。结论:实施保温护理能减少老年手术患者术中低体温发生,减轻手术应激反应,减少寒战、躁动等术后并发症。
【关键词】保温护理;老年;术中低体温;应激反应;体温控制 |
关键词: 保温护理 老年 术中低体温 应激反应 体温控制 |
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Effect of heat preservation nursing on hypothermia and stress response during operation in elderly patients |
huangqian
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Zhongnan Hospital Affiliated to Wuhan University
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Abstract: |
[abstract] objective: to explore the effect of heat preservation nursing on intraoperative hypothermia and stress response in elderly patients. Methods: 128 elderly patients with elective surgery in our hospital were randomly divided into control group and observation group, 64 cases each. The control group was given routine nursing, and the observation group was given comprehensive insulation nursing on the basis of routine nursing. The incidence of intraoperative hypothermia, stress indexes before and after surgery and postoperative complications were compared between the two groups. Results: the incidence of postoperative hypothermia in the observation group (28.13%) was lower than that in the control group (76.56%) (P < 0.05). Postoperative CRP, AD and NE levels in the two groups were higher than those before anesthesia (P < 0.05), the above indexes in the observation group were significantly lower than those in the control group (P < 0.05), and the incidence of postoperative chills and agitation was lower than that in the control group (P < 0.05). Conclusion: the implementation of heat preservation nursing can reduce the occurrence of hypothermia during operation in elderly patients, reduce the surgical stress reaction, and reduce postoperative complications such as chills and agitation. |
Key words: Thermal insulation care Old age Intraoperative hypothermia Stress response Temperature control |