摘要
目的:观察并探讨手术室亚专科体温保护标准化护理在老年膝关节置换术中的应用。方法:选取2021年5月—2023年5月样本医院收治的膝关节置换术400例老年患者作为研究对象。按随机数表法将其分为观察组和对照组,每组各200例。对照组接受常规的保温护理,观察组接受手术室亚专科体温保护的标准化护理。比较两组患者入手术室时、麻醉后30 min、手术结束时、术后30 min阶段体温变化情况;比较两组患者寒颤发生情况、术中出血量、麻醉恢复室(PACU)停留时间、术后住院天数及手术并发症发生情况。结果:观察组麻醉后30 min、手术结束时、术后30 min内各阶段体温均高于对照组,差异均有统计学意义(t=9.307、9.987、11.628,P<0.05);观察组患者寒颤发生率及严重程度均低于对照组,差异均有统计学意义(χ^(2)=5.582,P<0.05;u=2.383,P<0.05);观察组术中出血量、PACU停留时间以及住院天数少于对照组,差异均有统计学意义(t=7.396、11.423、9.262,P<0.05);观察组手术并发症发生率低于对照组,差异有统计学意义(χ^(2)=5.214,P<0.05)。结论:手术室亚专科体温保护标准化护理能够显著减少老年膝关节置换手术患者术中低体温及寒颤的发生概率,促使患者苏醒,减少手术并发症的潜在风险,提高患者术后康复速度。
Objective:To observe and explore the application of subspecialty temperature protection standardized nursing in operating room during elderly knee arthroplasty.Methods:400 elderly patients who underwent knee arthroplasty in the hospital from May 2021 to May 2023 were selected.According to the random number table method,the 400 patients were divided into observation group and control group,with 200 cases in each group.The patients in control group received routine heat preservation nursing,while the patients in observation group were given subspecialty temperature protection standardized nursing in operating room.The changes of body temperature at the time of entering the operating room,30 min after anesthesia,at the end of surgery and 30 min after surgery,occurrence of chills,intraoperative blood loss,post-anesthesia care unit(PACU)stay,postoperative hospital stay and occurrence of surgical complications were compared between the two groups.Results:The body temperature of the observation group was higher than that of the control group 30 min after anesthesia,at the end of operation and within 30 min after operation,with statistically significant difference(t=9.307,9.987,11.628;P<0.05).The incidence and severity of shivering in observation group were lower than those in control group,and the difference was statistically significant(χ^(2)=5.582,P<0.05;u=2.383,P<0.05).The intraoperative blood loss,PACU residence time and hospitalization days in the observation group were less than those in the control group,and the differences were statistically significant(t=7.396,11.423,9.262;P<0.05).The incidence of surgical complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.214,P<0.05).Conclusion:Subspecialty temperature protection standardized nursing in operating room can significantly reduce the incidence rates of hypothermia and chills in elderly patients undergoing knee arthroplasty,promote the recovery of patients,reduce the potential risk of surgical complications,and improve the postoperative recovery rate of patients.
作者
谢慧勇
孙贵兰
梁青青
刘云可
Xie Huiyong;Sun Guilan;Liang Qingqing(Department of Surgery,Zhengzhou People’s Hospital,Zhengzhou,Henan,450006,China)
出处
《黑龙江医学》
2025年第3期363-366,共4页
Heilongjiang Medical Journal
基金
2021年度河南省医学科技攻关计划项目(LHGJ20210004)。
关键词
手术室
亚专科体温保护标准化护理
老年
膝关节置换术
低体温
Operating room
Subspecialty temperature protection standardized nursing
Elderly
Knee arthroplasty
Hypothermia
