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手术室强化低体温护理在腹腔镜直肠癌根治术中的应用

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目的:探讨手术室强化低体温护理在腹腔镜直肠癌根治术中的应用价值。方法:选取2022年1~12月,本院52例腹腔镜直肠癌根治术患者,以抽签法随机分为观察组和对照组,每组26例。对照组采用常规护理,观察组采用常规护理联合手术室强化低体温护理,比较2组体温(T)、收缩压(SBP)、舒张压(DBP)、术后康复指标及并发症等。结果:术前,2组T、SBP和DBP比较,差异无统计学意义(P>0。05);术后,观察组T、SBP和DBP降低幅度均低于对照组(P<0。05);肠鸣音恢复时间、首次排气时间、首次排便时间、首次下床时间和住院时间均短于对照组(P<0。05);并发症发生率低于对照组(P<0。05)。结论:腹腔镜直肠癌根治术中,行手术室强化低体温护理可稳定生命体征,促进术后早期康复,降低并发症发生率。
Application of Intensive Hypothermia Nursing in Operating Room in Laparoscopic Radical Resection of Rectal Cancer
Objective To investigate the application value of intensive hypothermia nursing in operating room in laparoscopic radical resection of rectal cancer.Methods From January to December 2022,total 52 patients with laparoscopic radical resection of rectal cancer in our hospital were randomly divided into observation group and control group by drawing lots,with 26 cases in each group.The control group re-ceived routine nursing,and the observation group was given routine nursing combined with intensive hypo-thermia nursing in the operating room.The temperature(T),systolic blood pressure(SBP),diastolic blood pressure(DBP),postoperative rehabilitation indexes and complications of the two groups were compared.Results Before operation,there was no significant difference in T,SBP and DBP between the two groups(P>0.05).After operation,the reduction of T,SBP and DBP in the observation group was lower than that in the control group(P<0.05).The recovery time of bowel sound,the first exhaust time,the first defecation time,the first time to get out of bed and the length of hospital stay were shorter than those in the control group(P<0.05).The incidence of complications was lower than that of the control group(P<0.05).Conclusion During laparoscopic radical resection of rectal cancer,intensive hypothermia nursing in the operating room can stabilize vital signs,promote early postoperative recovery and reduce the incidence of complications.

Laparoscopic radical resection of rectal cancerIntensive hypothermia careEffect

张骏洲

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盐城市第一人民医院(江苏 盐城 224000)

腹腔镜直肠癌根治术 强化低体温护理 效果

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(9)