首页|手术室复合保温干预模式在剖宫产术中的应用效果及发生低体温的影响因素分析

手术室复合保温干预模式在剖宫产术中的应用效果及发生低体温的影响因素分析

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目的 探讨手术室复合保温干预模式在剖宫产术中的应用效果,并分析发生低体温的影响因素。方法 选取2019年7月至2022年6月在我院行剖宫产术的150例产妇为研究对象,采用随机数字表法将其分为对照组和研究组,每组75例。对照组给予手术室常规保温干预模式,研究组给予手术室复合保温干预模式。比较两组的鼓膜温度及寒战、低体温发生情况。按照有无发生低体温又将150例产妇分为低体温组和无低体温组,采用单因素、二元Logistic回归分析筛选出影响剖宫产产妇发生低体温的因素。结果 入室时(T1)、麻醉时(T2)、切皮时(T3)、胎儿娩出时(T4),研究组的鼓膜温度高于对照组(P<0。05)。研究组的寒战、低体温发生率低于对照组(P<0。05)。单因素分析结果显示,失血量、不良心理、手术时间、输血输液量是影响剖宫产产妇发生低体温的可能因素(P<0。05)。二元Logistic回归分析结果显示,失血量、不良心理是影响剖宫产产妇发生低体温的危险因素(P<0。05)。结论 手术室复合保温干预模式应用于剖宫产术中可有效维持产妇体温,减少寒战和低体温的发生;而低体温的发生和失血量、不良心理有关。
Application effect of compound thermal insulation intervention mode in operating room on cesarean section and analysis of influencing factors of hypothermia
Objective To explore the application effect of compound thermal insulation intervention mode in operation room on cesarean section,and to analyze the influencing factors of hypothermia.Methods A total of 150 parturients who underwent cesarean section in our hospital from July 2019 to June 2022 were selected as the research objects.The parturients were divided into control group and study group by random number table method,with 75 cases in each group.The control group was given routine thermal insulation intervention mode in operating room,and the study group was given compound thermal insulation intervention mode in operating room.The tympanic membrane temperature and the incidences of chills and hypothermia were compared between the two groups.According to the presence or absence of hypothermia,150 parturients were divided into hypothermia group and non-hypothermia group,univariate and binary Logistic regression analysis were used to screen out the factors affecting hypothermia in cesarean section.Results At the time of entering the room(T1),anesthesia(T2),skin incision(T3)and fetal delivery(T4),the tympanic membrane temperature of the study group was higher than that of the control group(P<0.05).The incidences of chills and hypothermia in the study group were lower than those in the control group(P<0.05).The results of single factor analysis showed that blood loss,bad psychology,operation time and blood transfusion volume were the possible factors affecting the incidence of hypothermia in cesarean section parturients(P<0.05).The results of binary Logistic regression analysis showed that blood loss and bad psychology were risk factors affecting the incidence of hypothermia in cesarean section parturients(P<0.05).Conclusion The compound thermal insulation intervention mode in operating room applied in cesarean section can effectively maintain maternal body temperature and reduce the incidences of chills and hypothermia;the incidence of hypothermia is related to blood loss and bad psychology.

compound thermal insulationcesarean sectionhypothermiablood lossbad psychology

郝晶、张婷、阎仿、严文萍

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西北妇女儿童医院手术室,陕西西安,710003

复合保温 剖宫产术 低体温 失血量 不良心理

陕西省创新能力支撑计划项目

2020KRM172

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(5)
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