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肺癌治疗中胸腔镜手术患者体温变化及护理干预的研究

Study on temperature change and nursing intervention of patients undergoing thoracoscopic surgery in lung tumor treatment.

作者信息

Qu Xiao, Hu Na, Zhou Liyan

机构信息

Operating Room, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China.

Department of Anesthesiology, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China.

出版信息

Medicine (Baltimore). 2024 Dec 13;103(50):e40672. doi: 10.1097/MD.0000000000040672.

Abstract

To investigate the changes of body temperature and nursing intervention of patients undergoing thoracoscopic surgery in lung tumor treatment. A total of 100 patients with lung cancer admitted to our hospital from January 2021 to January 2023 were selected as research objects, and were divided into control group and study group, with 50 cases in each group according to different treatment methods. All patients received thoracoscopic surgery, the control group received routine nursing, and the research group received perioperative nursing intervention on the basis of the above, and observed and compared the temperature changes, perioperative complications, postoperative rehabilitation, stress indexes and pain degree of the 2 groups of patients. The temperature at T1, T2, T3, and T4 was lower than that at T0, and the temperature at T3 was the lowest. The temperature at T1, T2, T3, and T4 in the study group was significantly higher than that in the control group (P < .05). The incidence of perioperative hypothermia, hypoxemia, chills, and agitation in study group was significantly lower than that in control group (P < .05). The anal exhaust time, consciousness recovery time, tracheal extubation time, operating room time, and hospital stay time in the study group were significantly shorter than those in the control group (P < .05). After operation, the levels of AD, NA, and Cor in both groups were higher than those before operation, and the levels of AD, NA, and Cor in the study group were significantly lower than those in the control group (P < .05). The visual analogue scale scores of the 2 groups at 12 hours and 48 hours after operation were lower than those of the control group at 6 hours, 12 hours, and 48 hours after operation, and the visual analogue scale scores of the study group at 6 hours, 12 hours, and 48 hours after operation were significantly lower than those of the control group (P < .05). Nursing intervention during thoracoscopic surgery for lung tumors can stabilize intraoperative and postoperative temperature changes, alleviate stress reaction and pain, reduce the risk of intraoperative hypothermia and hypoxemia, promote the smooth progress of surgery and improve prognosis.

摘要

探讨肺癌患者胸腔镜手术体温变化及护理干预措施。选取2021年1月至2023年1月我院收治的100例肺癌患者作为研究对象,根据治疗方法不同分为对照组和研究组,每组50例。所有患者均接受胸腔镜手术,对照组给予常规护理,研究组在上述基础上给予围手术期护理干预,观察比较两组患者体温变化、围手术期并发症、术后康复情况、应激指标及疼痛程度。T1、T2、T3、T4时体温均低于T0时,且T3时体温最低。研究组T1、T2、T3、T4时体温均显著高于对照组(P<0.05)。研究组围手术期低体温、低氧血症、寒战、躁动发生率均显著低于对照组(P<0.05)。研究组肛门排气时间、意识恢复时间、气管拔管时间、手术时间、住院时间均显著短于对照组(P<0.05)。术后两组AD、NA、Cor水平均高于术前,且研究组AD、NA、Cor水平显著低于对照组(P<0.05)。两组术后12小时及48小时视觉模拟评分均低于对照组术后6小时、12小时及48小时,且研究组术后6小时、12小时及48小时视觉模拟评分均显著低于对照组(P<0.05)。肺癌胸腔镜手术围手术期护理干预可稳定术中及术后体温变化,减轻应激反应及疼痛,降低术中低体温及低氧血症风险,促进手术顺利进行,改善预后。

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