全方位保溫措施在剖宮產(chǎn)手術(shù)室護(hù)理工作中的應(yīng)用價(jià)值

余莉敏　康梅鳳

【摘要】 目的：探討剖宮產(chǎn)手術(shù)室日常護(hù)理工作中加強(qiáng)全方位保溫措施的臨床應(yīng)用價(jià)值。方法：選取本院產(chǎn)科2017年4月-2018年4月收治的行剖宮產(chǎn)術(shù)的產(chǎn)婦100例作為研究對(duì)象，按照隨機(jī)數(shù)字表法將其分為對(duì)照組和觀察組，各50例。對(duì)照組應(yīng)用常規(guī)手術(shù)室護(hù)理模式，觀察組在此基礎(chǔ)上重視全方位保溫措施護(hù)理模式，觀察比較兩組麻醉起效后、開(kāi)始手術(shù)前、娩出新生兒后、結(jié)束手術(shù)時(shí)的產(chǎn)婦體溫、手術(shù)、寒戰(zhàn)發(fā)生、護(hù)理滿意度情況及新生兒狀況。結(jié)果：觀察組術(shù)中出血量及術(shù)后肛門恢復(fù)排氣時(shí)間均明顯少于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。娩出新生兒后、結(jié)束手術(shù)時(shí)，觀察組的產(chǎn)婦體溫均明顯高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組寒戰(zhàn)發(fā)生情況比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;且觀察組寒戰(zhàn)0級(jí)占比明顯高于對(duì)照組，Ⅲ級(jí)占比明顯低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。新生兒臍帶血血?dú)庵怠Ⅲw溫情況均明顯優(yōu)于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組護(hù)理總滿意度為98.0%明顯高于對(duì)照組的86.0%，差異有統(tǒng)計(jì)學(xué)意義（字2=4.891，P=0.027）。結(jié)論：針對(duì)剖宮產(chǎn)手術(shù)患者，在手術(shù)室日常工作中，重視全方位保溫措施的應(yīng)用，可減少術(shù)中出血量，縮短術(shù)后康復(fù)時(shí)間，維持母嬰正常體溫，降低寒戰(zhàn)發(fā)生率及程度，改善新生兒狀況，故顯著增強(qiáng)了護(hù)理水平，患者有更高的護(hù)理滿意度，具非常重要的開(kāi)展價(jià)值。

【關(guān)鍵詞】 剖宮產(chǎn); 手術(shù)室護(hù)理; 全方位保溫措施

【Abstract】 Objective：To explore the clinical value of strengthening all-round thermal insulation measures in daily nursing work of cesarean section operating room.Method：A total of 100 cases of parturients who undergone cesarean section in obstetrics department of our hospital from April 2017 to April 2018 were selected as the research objects.According to the random number table method，they were divided into control group and observation group，50 cases in each group.The control group was given the conventional operating room nursing mode，the observation group was attached importance to the nursing mode of all-round thermal insulation measures on this basis.The maternal temperature after anesthesia，before operation，after delivery of newborn and at the end of operation，operation，shivering，nursing satisfaction and neonatal status between the two groups were observed and compared.Result：The amount of intraoperative bleeding and the time of recovery of anal exhaust after operation in the observation group were significantly less than those in the control group，the differences were statistically significant（P<0.05）.The maternal temperature after delivery of newborn and at the end of operation in the observation group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.There was significant difference in the occurrence of shivering between the two groups（P<0.05），and the proportion of shivering grade 0 in the observation group was significantly higher than that in the control group，the proportion of shivering grade Ⅲ was significantly lower than that in the control group，the differences were statistically significant（P<0.05）.The neonatal umbilical cord blood gas value and body temperature were significantly better than those of the control group，the differences were statistically significant（P<0.05）.The total satisfaction degree of nursing in the observation group was 98.0%，which was significantly higher than 86.0% in the control group，the difference was statistically significant（字2=4.891，P=0.027）.Conclusion：For patients undergoing cesarean section，in the daily work of the operating room，the application of all-round thermal insulation measures can reduce the amount of intraoperative bleeding，shorten the postoperative recovery time，maintain normal body temperature of mother and infant，reduce the incidence and degree of shivering and improve the condition of the newborn，which significantly enhances the level of nursing，and the patients have higher satisfaction with nursing.It has a very important value for development.