浅析加强术中护理保温对预防直肠癌患者术中低体温的疗效.docVIP

精品论文 参考文献 浅析加强术中护理保温对预防直肠癌患者术中低体温的疗效 大庆油田总医院 163001 摘要：目的：研究分析加强术中护理保温对预防直肠癌患者术中低体温的疗效观察。方法：此次研究的对象是选取我院收治的行手术治疗的直肠癌患者。将其临床资料进行回顾性分析，并随机分为对照组和观察组。观察组患者接受常规外科护理服务，不做保温处理，观察组在对照组的基础上接受术中保温处理。比较两组患者在入室时，术中30min，术中60min，术中90min时及术中120min时和手术结束时患者的体温。结果：观察组在术中60min，90min，120min及手术结束时体温均高于对照组，且差异有统计学意义（Plt;0.05）。结论：加强术中护理保温能够有效预防直肠癌患者术中低体温的发生，值得临床推广。 关键词：直肠癌 术中护理 术中保温 术中低体温 Abstract：Objective：To study and analyze the effect of intraoperative nursing care in preventing rectal cancer patients with low temperature.Methods：the object of this study was to select the surgical treatment of rectal cancer patients treated in our hospital.The clinical data were retrospectively analyzed，and were randomly divided into control group and observation group.Patients in observation group received routine surgical care，do not do heat preservation treatment，the observation group in the control group based on the treatment of heat preservation.Compare the two groups of patients in the room，during the operation of 30min，intraoperative 60min，intraoperative 90min and 120min during the operation and the end of the patients body temperature.Results：the observation group in the operation of 60min，90min，120min and the end of the operation temperature were higher than the control group，and the difference was statistically significant（Plt;0.05）.Conclusion：strengthening the intraoperative nursing care can effectively prevent the occurrence of low temperature in rectal cancer patients，it is worthy of clinical application. Key words：intraoperative nursing of rectal cancer intraoperative hypothermia 直肠癌是全世界范围内最常见的恶性肿瘤之一，是原发性直肠癌最常见的发部位[1]。近年来，随着我国经济水平的提高，西方化生活方式与饮食习惯的改变，直肠癌的发病率呈明显增高的趋势[2]。直肠癌以手术治疗为主且手术时间较长，由于手术本身及麻醉等因素易造成体温失调，出现术中低体温，有研究显示其发生率高达50%-70%[3]。因此，我们加强了术中护理保温，取得了一定的效果，现报道如下。 1 资料与方法 1.1 一般资料 病例来自2014年1月～2015年2月在我院就诊后诊断其为直肠癌的患者，共40例，其中男23例，女17例，患者年龄范围50～80岁。随机分为对照组和研究组，对照组20例，实验组20例。其中对照组男12例，女8例，平均年龄67.2plusmn;12.3岁。观察组男11例，女9例，平均年龄61.8plusmn;10.5岁。两组患者年龄和性