全方位保温措施在剖宫产手术室护理工作中的应用价值

余莉敏　康梅凤

【摘要】 目的：探討剖宫产手术室日常护理工作中加强全方位保温措施的临床应用价值。方法：选取本院产科2017年4月-2018年4月收治的行剖宫产术的产妇100例作为研究对象，按照随机数字表法将其分为对照组和观察组，各50例。对照组应用常规手术室护理模式，观察组在此基础上重视全方位保温措施护理模式，观察比较两组麻醉起效后、开始手术前、娩出新生儿后、结束手术时的产妇体温、手术、寒战发生、护理满意度情况及新生儿状况。结果：观察组术中出血量及术后肛门恢复排气时间均明显少于对照组，差异均有统计学意义（P<0.05）。娩出新生儿后、结束手术时，观察组的产妇体温均明显高于对照组，差异均有统计学意义（P<0.05）。两组寒战发生情况比较，差异有统计学意义（P<0.05）;且观察组寒战0级占比明显高于对照组，Ⅲ级占比明显低于对照组，差异均有统计学意义（P<0.05）。新生儿脐带血血气值、体温情况均明显优于对照组，差异均有统计学意义（P<0.05）。观察组护理总满意度为98.0%明显高于对照组的86.0%，差异有统计学意义（字2=4.891，P=0.027）。结论：针对剖宫产手术患者，在手术室日常工作中，重视全方位保温措施的应用，可减少术中出血量，缩短术后康复时间，维持母婴正常体温，降低寒战发生率及程度，改善新生儿状况，故显著增强了护理水平，患者有更高的护理满意度，具非常重要的开展价值。

【关键词】 剖宫产; 手术室护理; 全方位保温措施

【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.