陈欢欢 孙娜

【摘 要】目的：分析对于腹腔镜直肠癌手术患者在其手术室护理中进行低体温护理的方法及其效果。方法：对照组行常规手术室护理，观察组行常规手术室护理联合术中低体温护理。结果：入室时两组患者的体温均正常，比较无明显差异（P>0.05），观察组手术30min以及术毕即刻体温监测结果较对照组高（P<0.05）；观察组术中低体温、寒战发生率较对照组低（P<0.05）；观察组护理满意度为100.00%高于对照组为89.19%（P<0.05）。结论：对于腹腔镜直肠癌手术患者通过在手术室护理中联合应用低体温护理有利于降低术中低体温和寒战的发生率。

【关键词】直肠癌；腹腔镜手术；常规手术室护理；低体温护理

Observation on the effect of hypothermic nursing during laparoscopic rectal cancer operation in operating room

Chen Huanhuan，Sun Na

Peking University Medical Lu’an Hospital ，Shanxi Changzhi 046200，China

【Abstract】Objective：To analyze the method and effect of hypothermia nursing in the operating room for patients with laparoscopic rectal cancer surgery.Methods：The control group underwent routine operating room nursing， and the observation group performed routine operating room nursing combined with intraoperative hypothermia nursing.Results：The body temperature of the two groups was normal when entering the room， and there was no significant difference between the two groups（P>0.05）. The body temperature monitoring results 30 minutes after operation and immediately after operation in the observation group were higher than those in the control group（P<0.05）； The incidence of hypothermia and shivering in the observation group was lower than that in the control group （P<0.05）； Nursing satisfaction in the observation group was 100.00%，which was higher than that in the control group was 89.19%（P<0.05）.Conclusion：For patients undergoing laparoscopic rectal cancer surgery， the combined application of hypothermia nursing in the operating room is helpful to reduce the incidence of hypothermia and chills.

【Key？Words】Rectal cancer； Laparoscopy； Routine Operating Room Care； Hypothermia Care

直腸癌是近年来发病率较高的消化系统恶性肿瘤疾病，该疾病随年龄增长其发病率有所上升，中老年人群是直肠癌的高发群体。近年来伴随人们饮食习惯等改变导致该疾病的发病率逐年上升，有报道指出不良饮食习惯、遗传、年龄增长、消化道疾病以及接触化学致癌物质等均与该疾病的发生有关[1]，患者可产生便意频繁、里急后重、排便习惯改变等症状。目前对直肠癌患者主要以外科手术治疗为主，常用的方式为腹腔镜直肠癌根治术，通过尽早进行该手术治疗有利于延长患者生存时间并改善其预后。然而手术期间麻醉药物应用和手术创伤性操作等将对患者的肾脏功能、凝血功能、体温调节功能、容量等造成影响，使得患者术中、术后容易发生低体温情况。随着手术时间延长患者低体温的发生率上升，该并发症的出现不利于患者的手术顺利开展，甚至导致手术被迫中断，所以采取有效的护理干预措施预防患者低体温的发生意义重大。……