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中国初级卫生保健:2019,33(12):128-130
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多模式综合保温方法在胃癌根治术患者中的应用
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中文摘要: 目的 探讨多模式综合保温方法对胃癌根治术患者苏醒时间、应激反应及并发症的影响。方法 按随机数字表法将130例胃癌根治术患者分为研究组与对照组(各65例),其中对照组采取常规保温方式, 研究组给予多模式综合保温方式。比较两组患者术后苏醒时间、引流量、住院时间及并发症。结果 研究组苏醒时间、住院时间与对照组比较均明显缩短(P<0.05),但两组术后24 h引流量比较无明显差异(P>0.05)。手术前两组患者肾上腺素(ADR)、去甲肾上腺素(NR)及血糖(BG)水平比较无明显差异(P>0.05),手术后两组患者ADR、NR以及BG水平均明显升高,且研究组升高水平均明显低于对照组 (P<0.05)。研究组寒战(3.08%)、低体温(1.54%)及躁动(6.15%)发生率均明显低于对照组(13.85%、16.92%和21.54%)(P<0.05)。结论 胃癌根治术患者采用多模式综合保温措施能够缩短患者的清醒时间,且对于抑制患者的应激反应有着明显的效果,同时能够明显降低患者术后寒战、低体温以及感染等并发症的发生率。
Abstract:Objective To investigate the effect of multi-mode comprehensive heat preservation on recovery time, stress response and complications of patients undergoing radical gastrectomy for gastric cancer. Methods 130 patients who underwent radical gastrectomy were dividend into the study group and the control group (65 cases in each group) by the random number table method. The control group adopted conventional heat preservation method, and the study group gave multi-mode comprehensive heat preservation method. The recovery time, drainage volume, hospitalization time and complications were compared between these two groups. Results The recovery time and hospitalization time of the study group were significantly shorter than the control group (P<0.05), but there was no significant difference in the 24-hour drainage volume between the two groups (P>0.05). There was no significant difference in ADR, NR and BG levels between these two groups before operation (P>0.05), but the levels of ADR, NR and BG in the two groups after operation were significantly increased, and the levels of ADR, NR and BG in the study group were significantly lower than the control group (P<0.05). The incidence of shivering, hypothermia and restlessness in the study group (3.08%, 1.54%, 6.15%) was significantly lower than the control group (13.85%, 16.92%, 21.54%) (P<0.05). Conclusion Multimodal comprehensive thermal insulation could shorten the waking time of patients undergoing radical gastrectomy, and had obvious effect on inhibiting the stress reaction of patients. It could also significantly reduced the incidence of complications such as shivering, hypothermia and infection after operation.
文章编号:3201912042     中图分类号:R735.2    文献标志码:
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