Application effects of perioperative interventions under the concept of prospective prevention in preventing hypothermia and stress responses in elderly patients undergoing open radical gastrectomy for gastric cancer
Objective To explore the application effects of perioperative interventions under the concept of prospective prevention in preventing hypothermia and stress responses in elderly patients undergoing open radical gastrectomy for gastric cancer.Methods The case data of 75 elderly patients who underwent open radical gastrectomy in Affiliated Huai'an Hospital of Xuzhou Medical University from March 2021 to October 2024 were retrospectively analyzed.According to different interven-tion methods,they were divided into observation group(n=39)and control group(n=36).The control group received rou-tine perioperative intervention,while the observation group received perioperative intervention under the concept of prospective prevention.The body temperature at each time point during perioperative period,operation and postoperative recovery indexes(operation time,waking time,extubation time,catheter indwelling time),physiological stress response[diastolic blood pres-sure(DBP),systolic blood pressure(SBP),heart rate(HR),fasting blood glucose(FBG)]and psychological stress re-sponse[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)],as well as the incidence of hypothermia,cold and chills,during the perioperative period were compared between the two groups.Results The body temperature values of the observation group at the time after anesthesia,at the time of abdominal cavity opening,at the end of surgery,at 0.5 h after resuscitation,at the time of returning to the ward and at 24 h after returning to the ward were significantly higher than those of the control group(P＜0.05).The operation time,waking time,extubation time,catheter indwelling time of the ob-servation group were significantly shorter than those of the control group(P＜0.05).After intervention,the levels of DBP,SBP and HR and scores of SAS and SDS of both groups were significantly lower than those of the same group before interven-tion,and the observation group was significantly lower than the control group(P＜0.05);the levels of FBG of both groups were significantly higher than those of the same group before intervention,but the observation group was significantly lower than the control group(P＜0.05).There was no significant difference in the incidence of hypothermia,cold and chills,during the perioperative period between the two groups(P＞0.05).Conclusion Perioperative intervention under the concept of pro-spective prevention has a good effect on preventing hypothermia in elderly patients undergoing laparotomy.It can promote the recovery of elderly patients and relieve the stress response.
万方数据
维普
