Effect of thermal insulation intervention combined with pain management on pain,body temperature and hemodynamics in patients undergoing surgery for gastric cancer
Objective To explore the effect of thermal insulation intervention combined with pain management on pain,body temperature and hemodynamics in patients undergoing surgery for gastric cancer.Method According to the different intervention methods,86 patients with gastric cancer surgery were divided into control group(n=42)and obser-vation group(n=44).Patients in the control group received routine intervention,and patients in the observation group re-ceived thermal insulation intervention combined with pain management on the basis of the control group.The pain-relat-ed indexes[numerical rating scale(NRS),patient controlled analgesia(PCA)pump compressions and additional sufent-anil dose],body temperature,hemodynamic indexes[heart rate(HR),pulse oxygen saturation(SpO2)],hypothermia and agitation were compared between the two groups.Result At 4 and 12 h after operation,the NRS scores in observation group were significantly lower than those in control group,and the differences were statistically significant(P＜0.01).The times of PCA pump compress and the additional dose of sufentanil in observation group were significantly lower than those in control group,and the differences were statistically significant(P＜0.01).At 1 and 2 h after the start of the opera-tion and immediately after the operation,the body temperatures in observation group were significantly higher than those in control group,and the differences were statistically significant(P＜0.01).At 4 h after surgery,the HR in both groups were higher than those before surgery,and the HR in observation group was lower than that in control group,and the dif-ferences were statistically significant(P＜0.05).The incidence of hypothermia and agitation in observation group were lower than those in control group,and the differences were statistically significant(P＜0.05).Conclusion Thermal insula-tion intervention combined with pain management can reduce the amount of analgesic drugs used in patients undergoing gastric cancer surgery,alleviate postoperative pain,reduce heat loss,maintain stable intraoperative hemodynamics,and re-duce the risk of hypothermia and agitation.
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