首页|手术室保温护理在全身麻醉患者中的应用效果及对应激反应的影响

手术室保温护理在全身麻醉患者中的应用效果及对应激反应的影响

Application effect of heat preservation nursing in operating room in patients undergoing general anesthesia and its influence on stress response

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目的 探讨手术室保温护理在全身麻醉患者中的应用效果及对应激反应的影响.方法 选取2021年7月至2022年 7 月本院收治的 58例行全身麻醉患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各29例.对照组给予常规护理,观察组在对照组基础上给予手术室保温护理.比较两组的护理效果.结果 护理前,两组的C反应蛋白(CRP)、肾上腺激素(AD)及去甲肾上腺素(NE)水平比较,差异无统计学意义(P>0.05);护理后,两组的CRP、AD及NE水平均明显升高,但观察组低于对照组(P<0.05).护理前,两组的活化部分凝血活酶时间(APTT)、纤维蛋白原(FBG)水平及凝血酶时间(TT)比较,差异无统计学意义(P>0.05);护理后,观察组的APTT、TT短于对照组,FBG水平高于对照组(P<0.05).术前,两组的体温比较,差异无统计学意义(P>0.05);术中及术后 24 h,观察组的体温高于对照组(P<0.05).观察组的护理满意度显著高于对照组(P<0.05).结论 手术室保温护理应用在全身麻醉患者临床治疗中可明显减轻应激反应,维持凝血-抗凝血平衡,进而可有效提升护理满意度,获得显著的护理效果.
Objective To explore the application effect of heat preservation nursing in operating room in patients undergoing general anesthesia and its influence on stress response.Methods A total of 58 patients undergoing general anesthesia admitted in our hospital from July 2021 to July 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 29 cases in each group.The control group was given routine nursing,and the observation group was given heat preservation nursing in operating room on the basis of the control group.The nursing effects of the two groups were compared.Results Before nursing,there were no significant differences in the levels of C-reactive protein(CRP),adrenal hormone(AD)and norepinephrine(NE)between the two groups(P>0.05);after nursing,the levels of CRP,AD and NE in the two groups significantly increased,but those in the observation group were lower than the control group(P<0.05).Before nursing,there were no significant differences in activated partial thromboplastin time(APTT),fibrinogen(FBG)level and thrombin time(TT)between the two groups(P>0.05);after nursing,the APTT and TT in the observation group were shorter than those in the control group,and the FBG level was higher than that in the control group(P<0.05).Before operation,there was no significant difference in body temperature between the two groups(P>0.05);during operation and at 24 h after operation,the body temperature of the observation group was higher than that of the control group(P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The heat preservation nursing in operating room applied in the clinical treatment of patients undergoing general anesthesia can significantly reduce the stress response,maintain the balance of coagulation and anticoagulation,and then effectively improve the nursing satisfaction and obtain significant nursing effect.

general anesthesiaoperating room nursingheat preservation nursingstress response

赵姣姣、刘转、霍建臻

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西安交通大学第一附属医院榆林医院,陕西 榆林,719000

全身麻醉 手术室护理 保温护理 应激反应

榆林市青年人才托举计划(2021)

20210305

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(17)