程菊英

【摘要】 目的：观察经皮肾结石患者术中体温维持采用护理干预措施的效果。方法：将笔者所在医院2016年1月-2017年1月接受经皮肾结石手术的106例患者随机分为两组，其中53例采用普通护理方式为对照组，另53例采用有针对性维持术中体温的护理干预为干预组。将两组术前术中体温及出现寒战的情况对照研究。结果：麻醉前两组患者温度比较差异无统计学意义（P>0.05），术中及术后干预组体温明显比对照组高，且干预组无寒战出现，对照组出现4例，两组相比差异有统计学意义（P<0.05）。结论：对于经皮肾结石手术患者采用有针对性的护理干预，有效减少术中出现寒战的情况，保证患者术中体温平稳，效果理想。

【关键词】 护理干预； 经皮肾结石术； 体温维持； 效果观察

doi：10.14033/j.cnki.cfmr.2017.25.041 文献标识码 B 文章编号 1674-6805（2017）25-0080-02

【Abstract】 Objective：To observe the effect of nursing intervention on the maintenance of body temperature in patients with percutaneous nephrolithotomy.Method：From January 2016 to January 2017 in the author，s hospital，106 cases underwent percutaneous renal calculi surgery were randomly divided into two groups，53 cases were treated with common nursing methods known as the control group，the other 53 cases were treated with targeted nursing intervention to maintain intraoperative body temperature called the intervention group.The preoperative and postoperative temperature and shivering in the two groups were compared and analyzed.Result：There was no statistically significant difference of temperature between two groups before anesthesia（P>0.05）.In intraoperative and postoperative，intervention group was significantly higher than the control group.There was no chills，4 cases of the control group，compared two groups，significant difference was existed（P<0.05）.Conclusion：For the patients with percutaneous nephrolithotomy，targeted nursing intervention can effectively reduce the occurrence of shivering during operation，and ensure the stable temperature of patients during operation，and the effect is ideal.

【Key words】 Nursing intervention； Percutaneous nephrolithotomy； Body temperature maintenance； effect observation

First-authors address：The Central Hospital of Dazhou，Dazhou 635000，China

腎结石是发病率相对较高的一种结石病。主要症状包括深部性的腰部疼痛，尿液肉眼可见血液，有尿痛及感染等[1]。手术以体外冲击碎石、经皮肾镜下取石为首选。但术中有七成患者出现不同程度的低体温，更有患者出现寒战情况，对凝血功能、药物代谢、心肌收缩力和肾脏功能都有一定程度的影响，对并发症的出现提供了有利条件[2]。笔者所在医院采用术中护理干预模式在经皮肾结石手术患者手术过程中维持患者正常体温取得了较好的疗效，现将结果分析报道如下。

1 资料与方法

1.1 一般资料

将笔者所在医院2016年1月-2017年1月接受经皮肾结石手术的106例患者随机分为两组，其中53例采用普通护理方式，为对照组，男31例，女22例，患病时间1.3～7.0个月，平均（3.7±1.1）个月，年龄39～69岁，平均（48.6±2.9）岁。另53例采用有针对性维持术中体温的护理干预，为干预组，男32例，女21例，患病时间1.5～8.0个月，平均（3.9±1.3）个月，年龄38～68岁，平均（48.7±3.0）岁。两组……