高贤　张霞　张丹

【摘 要】目的：分析研究全方位保温措施在剖宫产手术室护理工作中的应用价值。方法：选取本院102例行剖宫产产妇开展本次研究，标本纳入时间范围为2018年03月-2019年04月，所有产妇通过数字表法进行平均分组，分别为参照组和观察组，各51例。其中给予常规保温护理的为参照组，给予全方位保温护理的为观察组，比较两组产妇寒战及低体温发生率。结果：观察组产妇寒战及低体温发生率皆低于参照组且差异显著（P<0.05）。结论：在剖宫产手术室护理工作中应用全方位保温措施，可有效维持产妇正常体温，避免出现寒战及低体温等不良情况，具有推广价值。

【关键词】全方位保温;剖宫产手术;护理;寒战;低体温

【中图分类号】R472.3 【文献识别码】B 【文章编号】1002-8714（2019）11-0040-01

【Abstract】 Objective to analyze and study the application value of omni-directional heat preservation measures in cesarean section operating room nursing. Methods 102 parturients undergoing cesarean section in our hospital were selected to carry out this study. The specimens were included in the period from March 2018 to April 2019. All parturients were divided into two groups： reference group （n = 51） and observation group （n = 51）. Among them， the control group was given routine thermal insulation nursing， and the observation group was given omni-directional heat preservation nursing. The incidence of chills and hypothermia between the two groups was compared. Results the incidence of chills and hypothermia in the observation group was significantly lower than that in the control group （P < 0.05）. Conclusion The application of all-round heat preservation measures in the nursing of the operation room of the caesarean section can effectively maintain the normal body temperature of the parturient， avoid the bad conditions such as cold war and low body temperature， and has the popularization value.

【Keywords】 all-round insulation; cesarean section surgery; nursing; chills; hypothermia

剖宮产手术虽然时间不是很长，但因椎管内麻醉对阻滞区体温的正常调节会产生干扰，加之手术切口以及皮肤与周围环境形成的热交换，术中冲洗的“热稀释”、输液以及羊水吸出等将大量热量带走，易引发低体温[1]。本次研究旨在分析全方位保温措施在剖宫产手术室护理工作中的应用价值，报道如下。

1 资料与方法

1.1一般资料

选取本院102例行剖宫产产妇开展本次研究，标本纳入时间范围为2018年03月-2019年04月，所有产妇通过数字表法进行平均分组，分别为参照组和观察组，各51例。产妇平均年龄为（27.17±2.38）岁;平均孕周为（37.86±3.81）周;初产妇76例，经产妇26例。上述两组一般资料的对比结果缺乏显著差异（P>0.05），无统计学意义。

1.2方法

参照组予以传统常规保温护理，观察组予以全方位保温护理：用将温度调至50℃左右的纯棉线毯将产妇上胸部及颈部覆盖住，需对足底特别严盖;术中所使用的宫腔、腹腔冲洗液需将其加温至40℃左右;输液过程中应用加温器，保持输液、输血温度在37℃恒温;术后对产妇转运时将加温后的纯棉线毯严密包裹于身上，并选择最为快捷的转运路径。