Abstract:
Objective To explore the effect of intraoperative heat preservation nursing in prevention of hypothermia and complications of patients with gynecological laparoscopic surgery.
Methods A total of 96 patients who underwent gynecological laparoscopic surgery in our hospital were randomly divided into control group (n=48) and intervention group (n=48). The control group was given routine nursing, and the intervention group was given intraoperative thermal preservation measures on the basis of the control group. The changes of nasopharyngeal temperature, heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were monitored at 60 min of intraoperation and 30 min after operation, and the incidence of low body temperature and complications were observed.
Results There were no significant differences in operative time, abdominal lavage volume, preoperative nasopharyngeal temperature, HR, SBP and DBP between the two groups (P>0.05). The bleeding volume and awakening time of anesthesia in the intervention group were better, nasopharyngeal temperature at 60 min of intraoperation and 30 min after operation was higher, HR, SBP and DBP were significantly lower, the incidences of hypothermia, awakening restlessness and chills in the interventiongroup were significantly lower than those in the control group, the between-group differences were observed(P < 0.05).
Conclusion Nursing measures of heat preservation during gynecological laparoscopic surgery can reduce intraoperative bleeding, shorten the recovery time of anesthesia, and effectively prevent the occurrence of low body temperature and related complications during perioperative period.