首页|基于量化评估的手术室保温护理对脑动脉瘤血管栓塞术患者凝血功能及低体温发生率的影响

基于量化评估的手术室保温护理对脑动脉瘤血管栓塞术患者凝血功能及低体温发生率的影响

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目的 分析基于量化评估的手术室保温护理对脑动脉瘤血管栓塞术患者凝血功能及低体温发生率的影响。方法 选取2020 年1月至2022 年12 月收治的80 例脑动脉瘤血管栓塞术患者为研究对象,以随机数字表法将其分为常规组和观察组,每组 40 例。常规组给予常规手术室保温护理,观察组给予基于量化评估的手术室保温护理。比较两组的护理效果。结果 术前(T0),两组的体温、收缩压(SBP)、舒张压(DBP)及心率比较,差异无统计学意义(P>0。05);术中 10 min(T1)、术中 30 min(T2)、术后 5 min(T3),观察组的体温、SBP、DBP及心率高于常规组,差异具有统计学意义(P<0。05)。术后 1d,观察组的去甲肾上腺素(NE)、皮质醇(Cor)水平低于常规组,凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)长于常规组,差异具有统计学意义(P<0。05)。观察组的不良事件总发生率为2。50%,显著低于常规组的22。50%,差异具有统计学意义(P<0。05)。结论 基于量化评估的手术室保温护理能够有效稳定脑动脉瘤血管栓塞术患者的术中生命体征,减小手术对患者应激反应和凝血功能的影响,降低不良事件发生率。
Effects of thermal insulation nursing in operating room based on quantitative evaluation on coagulation function and incidence of hypothermia in patients with cerebral aneurysm undergoing vascular embolization
Objective To analyze the effects of thermal insulation nursing in operating room based on quantitative evaluation on coagulation function and incidence of hypothermia in patients with cerebral aneurysm undergoing vascular embolization.Methods A total of 80 patients with cerebral aneurysm undergoing vascular embolization admitted from January 2020 to December 2022 were selected as the research objects,and the patients were divided into routine group and observation group by random number table method,with 40 cases in each group.The routine group was given routine operating room thermal insulation nursing,and the observation group was given operating room thermal insulation nursing based on quantitative evaluation.The nursing effects of the two groups were compared.Results Before operation(T0),there were no significant differences in body temperature,systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate between the two groups(P>0.05);at intraoperative 10 min(T1),intraoperative 30 min(T2)and postoperative 5 min(T3),the body temperature,SBP,DBP and heart rate of the observation group were higher than those of the routine group,and the differences were statistically significant(P<0.05).At 1 d after operation,the levels of norepinephrine(NE)and cortisol(Cor)in the observation group were lower than those in the routine group,and prothrombin time(PT)and activated partial thromboplastin time(APTT)were longer than those in the routine group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was 2.50%,which was significantly lower than 22.50%in the routine group,and the difference was statistically significant(P<0.05).Conclusion The thermal insulation nursing in operating room based on quantitative evaluation can effectively stabilize the intraoperative vital signs of patients with cerebral aneurysm undergoing vascular embolization,reduce the impact of surgery on patients'stress response and coagulation function,and decrease the incidence of adverse events.

cerebral aneurysmvascular embolizationquantitative evaluationoperating roomthermal insulation nursing

杜阳、许文婷

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榆林市第一医院介入室,陕西 榆林,719000

蒲城县医院介入放射诊疗手术室,陕西 渭南,715500

脑动脉瘤 血管栓塞术 量化评估 手术室 保温护理

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(34)