Abstract：Objective To explore the effect of active warming intervention in the operation room on maternal hypothermia after planned cesarean.Methods Healthy expectant mothers in the hospital from January 2017 to June 2017 were randomly divided into the observation group with 62 patients and the control group with 58. The parturients in the control group adopted the routine heating measures. In the observation group, the parturients were treated with active warming intervention including warmed IV fluids and forced air warming blankets by the nurses of the operation room. The temperature of body nucleus, the incidence of hypothermia, the tremor degree, the comfort of temperature and the Apgar score of the newborn were compared between the two groups.Results Core temperature and thermal comfort scores of patients in the experimental group were significantly higher than those in the control group (P<0.01).The incidence of hypothermia and the tremor degree of patients in the experimental group were significantly lower than those in the control group (P<0.01). However, there was no statistically significant difference between the two groups in Apgar score (P>0.05).Conclusion Active warming intervention in the Operation Room may have a beneficial effect on maternal hypothermia after planned cesarean, but the relevant efficacy was not shown in Apgar score.
刘媛,徐宏涛,胡英 ,刘苏惠. 手术室积极保暖干预措施对剖宫产术后手术源性低体温的影响[J]. 中国医院统计, 2018, 25(5): 376-380.
Liu Yuan, Xu Hongtao, Hu Ying, Liu Suhui. The effect of active warming intervention in the operation room on maternal hypothermia after planned cesarean. journal1, 2018, 25(5): 376-380.
[1] 李龙柏,王丽,王晓蓉,等.小剂量罗哌卡因腰麻—硬膜外麻醉于剖腹产手术的应用[J].河北医学,2006,12(4):317-319. [2] 付珊明,陈绿秀,庄紫燕.剖腹产手术腰硬联合麻醉与连续硬膜外麻醉对血液动力学的影响[J].实用医学杂志,2005,21(11):1161-1162. [3] 金阳阳,盛夏.腹腔镜下行根治性膀胱切除术患者术中低体温的预防及护理[J].解放军护理杂志,2018,12(11):70-72. [4] 赵昭.腹腔镜直肠癌术中低体温相关因素分析与护理[J].护理实践与研究,2018(4):13-15. [5] 刘剑.手术中后期复合保温措施对颅脑手术患者低体温和不良反应的影响[J].中华现代护理杂志,2018,4(15):1825-1827. [6] 高俊美,周倩,杨爱芝.妇科腹腔镜手术患者低体温的预防及效果观察[J].国际护理学杂志,2015,10(22):3067-3068. [7] 季建红,单荣芳,蒋亚琼,等.三种方法测量ICU患者体核温度的效果比较[J].齐鲁护理杂志,2013,19(2):40-41. [8] QAHANI AS, MESSAHEL FM. Benchmarking inadvertent perioperative hypothermia guidelines with the National Institute for Health and Clinical Excellence[J]. Saudi Med J,2011,32(1):27-31. [9] BADJATIA N, STRONGILIS E, GORDON E, et al. Metabolic impact of shivering during therapeutic temperature modulation: the Bedside Shivering Assessment Scale[J]. Stroke,2008,39(12):3242-3247. [10]OlSON DM, GRISSOM JL, WILLIAMSON RA, et al. Interrater reliability of the bedside shivering assessment scale[J]. Am J Crit Care,2013,22(1):70-74. [11]王颖,张素秋,李莉.火疗技术温度变化规律的研究[J].中国护理管理,2018,18(3):415-418. [12]CHUNG SH, LEEBS, YANG HJ, et al. Effect of preoperative warming during cesarean section under spinal anesthesia[J]. Korean J Anesthesiol,2012,62(5):454-460. [13]FALLIS WM, Hamelin K, SYMONDS J, et al. Maternal and newborn outcomes related to maternal warming during cesarean delivery[J]. J ObstetGynecol Neonatal Nurs,2006,35(3):324-331. [14]PARIS LG, SEITZ M, MCELROY KG, et al. A randomized controlled trial to improve outcomes utilizing various warming techniques during cesarean birth[J]. J ObstetGynecol Neonatal Nurs,2014,43(6):719-728. [15]PANZER O, GHAZANFARI N, SESSLER DI, et al. Shivering and shivering-like tremor during labor with and without epidural analgesia[J]. Anesthesiology,1999,90(6):1609-1616. [16]邓碧睿.术中低体温对患者麻醉恢复期的影响及护理干预效果分析[J].医药前沿,2017,7(32):266-267. [17]ESHRAGHI Y, NASR V, PARRA S, et al. An evaluation of a zero-heat-flux cutaneous thermometer in cardiac surgical patients[J]. Anesth Analg,2014,119(3):543-549. [18]WATKINSON M. Temperature control of premature infants in the delivery room[J]. Clin Perinatol,2006,33(1):43-53.
