【摘要】：目的探討老年開腹手術(shù)圍術(shù)期手術(shù)部位感染(SSI)與低體溫的相關(guān)性,分析體溫變化,低體溫發(fā)生率與SSI發(fā)生率及不同程度患者切口愈合情況,為臨床診斷治療提供依據(jù)。方法選擇2010年12月-2013年10月行開腹手術(shù)患者126例作為研究對象,將患者隨機分為觀察組與對照組,各63例,對照組在圍術(shù)期采用常規(guī)保溫措施,觀察組在常規(guī)保溫措施基礎(chǔ)上實施綜合保溫措施;觀察兩組患者低體溫及SSI發(fā)生率。結(jié)果觀察組手術(shù)部位感染率6.35%、低體溫發(fā)生率4.76%,對照組分別為19.05%、85.71%,兩組比較差異有統(tǒng)計學(xué)意義(P0.05);觀察組患者麻醉后60、90、120、180min體溫分別為(36.5±0.3)、(36.4±0.2)、(36.4±0.3)、(36.4±0.2)℃,對照組分別為(36.1±0.2)、(36.0±0.1)、(35.5±0.3)、(35.5±0.2)℃,兩組比較差異有統(tǒng)計學(xué)意義(P0.05);體溫36.5℃患者切口愈合率顯著優(yōu)于36℃患者與36~36.4℃患者,差異有統(tǒng)計學(xué)意義(P0.05);36.0~36.4℃患者切口愈合率顯著優(yōu)于36℃患者,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論老年開腹手術(shù)圍術(shù)期患者SSI發(fā)生率與低體溫有關(guān),采取綜合保溫方法可對圍術(shù)期低體溫的發(fā)生進行有效的預(yù)防,且可使SSI發(fā)生率降低,具有重要臨床研究價值。
[Abstract]:Objective to investigate the correlation between postoperative (SSI) infection and hypothermia in elderly patients undergoing open surgery, and to analyze the changes of body temperature, the incidence of hypothermia, the incidence of SSI and the wound healing in patients with different degrees of incision healing, so as to provide the basis for clinical diagnosis and treatment. Methods 126 patients undergoing open surgery from December 2010 to October 2013 were randomly divided into observation group and control group with 63 cases each. The control group was treated with routine thermal insulation during perioperative period. The observation group carried out comprehensive heat preservation measures on the basis of routine insulation measures, and observed the incidence of hypothermia and SSI in both groups. Results the infection rate of operation site was 6.35 in the observation group, and the incidence of hypothermia was 4.76 in the control group (P 0.05), the difference between the two groups was statistically significant (P0.05), the body temperature of the patients in the observation group was (36.5 鹵0.3), (, 36.4 鹵0.2), (, 36.4 鹵0.3), (, 36.4 鹵0.2) 鈩，

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