Clinical effect of laparoscopic total hysterectomy with heat preservation measures based on the concept of risk assessment
Objective To study the clinical effect of laparoscopic total hysterectomy with heat preservation measures based on the concept of risk assessment.Methods From January 2022 to April 2023,a total of 60 patients aged 36-68 years old who underwent laparoscopic total hysterectomy in our hospital were selected,including 16 cases of adenomyosis and 44 cases of uterine fibroids.Using random numbers generated by Excel,patients were divided into control group(30 cases)and research group(30 cases).Patients in the control group were managed by conventional heat preservation measures in the operating room,and those in the research group were intervened by laparoscopic total hysterectomy with heat preservation measures based on the concept of risk assessment.Risk factors for hypothermia according to the relevant influencing factors for intraoperative hypothermia were evaluated,so as to formulate heat preservation measures including dynamic monitoring of body temperature,maintenance of appropriate temperature in the operating room,warming of infusion and rinse solution,covering quilts,warming of rinse solution,and using insulation devices.Heat preservation measures were carried out throughout the entire perioperative period.Risk assessment and intervention were conducted during the whole process from pre-operative to post-operative period.The bleeding,intraoperative fluid volume,postoperative extubation time,postoperative awakening,changes in intraoperative body temperature,incidence of hypothermia-related complications,pain scores of at different time points postoperatively,and the satisfaction rate of total hysterectomy were compared.Results After the intervention of heat preservation measures based on the concept of risk assessment in laparoscopic total hysterectomy,the intraoperative bleeding amount and the incidence of hypothermia and related complications were significantly reduced(P<0.05).The pain scores at 1 hour,6 hours,12 hours and 24 hours after surgery of patients in the research group were significantly lower than those of the control group(P<0.05).Patient's satisfaction for the heat preservation based on the concept of risk assessment was significantly higher(P<0.05).Conclusion Heat preservation measures based on the concept of risk assessment can reduce the incidence of hypothermia,bleeding and hypothermia-related complications in laparoscopic total hysterectomy,improve satisfaction,which is worthy of clinical promotion and application.
concept of risk assessmentheat preservation measureslaparoscopic total hysterectomy
万方数据
维普
