杨敏毅.围手术期低温干预在剖宫产手术中的应用效果研究[J].上海护理,2021,21(2):
围手术期低温干预在剖宫产手术中的应用效果研究
Study on the effect of perioperative low temperature intervention in cesarean section operation
DOI:
中文关键词:  围手术期  低温干预  剖宫产  低温  寒颤
英文关键词:
基金项目:
作者单位E-mail
杨敏毅* 无锡市妇幼保健院 手术室 江苏无锡 214000 qb20200108@163.com 
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中文摘要:
      目的 探究围手术期低温干预在剖宫产手术中的应用效果。方法 选择2016年1月~2019年6月我院产科择期剖宫产手术的产妇106例作为研究对象。采用随机数字表法将随选产妇分为试验组和对照组,各53例。对照组产妇围手术期采取盖被、铺单等常规保暖护理措施,试验组在对照组护理的基础上实施围手术期低温干预。统计和比较两组剖宫产术后低体温及寒颤发生情况,此外记录剖宫产术后首次排气时间。结果 试验组宫产术后首次平均排气时间为(32.3±9.9)min明显对照组对照组的(38.7±10.9)min,差异具有统计学意义(P<0.05);试验组剖宫产术后低体温发生率为13.2%(7/53)明显低于对照组的41.5%(22/53),差异具有统计学意义(P<0.05);试验组剖宫产术后寒颤发生率为11.3%(6/53)
英文摘要:
      Objective To explore the effect of perioperative low temperature intervention in cesarean section. Method A total of 106 women who underwent elective cesarean section in our hospital from January 2016 to June 2019 were selected as the study subjects. Random number table method was used to divide them into experimental group and control group, 53 cases each. In the control group, the puerpera in the perioperative period took routine warm nursing measures such as covering and laying sheets, while in the experimental group, low temperature intervention in the perioperative period was carried out on the basis of nursing in the control group. The occurrence of hypothermia and chills after cesarean section was compared between the two groups, and the first exhaust time after cesarean section was recorded. Results The mean first exhaust time after uterine delivery was (32.3±9.9) min in the experimental group, which was 38.7±10.9) min in the control group, and the difference was statistically significant (P<0.05); The incidence of hypothermia after cesarean section in the experimental group was 13.2% (7/53), significantly lower than that in the control group (41.5% (22/53), with statistically significant difference (P<0.05). Experimental group chills after cesarean section rate was 11.3% (6/53) significantly lower than the control group (19/53), 35.9% of the difference is statistically significant (P < 0.05), and the control group in 4 cases of serious maternal chills (Ⅲ level). Conclusion Effective low temperature intervention in the perioperative period can effectively reduce low temperature and chills, improve the perioperative temperature of cesarean women, and promote the recovery of gastrointestinal function.
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