老年围术期低体温与感染的相关性研究

发布时间：2018-07-27 21:26

【摘要】：目的探讨老年开腹手术围术期手术部位感染(SSI)与低体温的相关性,分析体温变化,低体温发生率与SSI发生率及不同程度患者切口愈合情况,为临床诊断治疗提供依据。方法选择2010年12月-2013年10月行开腹手术患者126例作为研究对象,将患者随机分为观察组与对照组,各63例,对照组在围术期采用常规保温措施,观察组在常规保温措施基础上实施综合保温措施;观察两组患者低体温及SSI发生率。结果观察组手术部位感染率6.35%、低体温发生率4.76%,对照组分别为19.05%、85.71%,两组比较差异有统计学意义(P0.05);观察组患者麻醉后60、90、120、180min体温分别为(36.5±0.3)、(36.4±0.2)、(36.4±0.3)、(36.4±0.2)℃,对照组分别为(36.1±0.2)、(36.0±0.1)、(35.5±0.3)、(35.5±0.2)℃,两组比较差异有统计学意义(P0.05);体温36.5℃患者切口愈合率显著优于36℃患者与36~36.4℃患者,差异有统计学意义(P0.05);36.0~36.4℃患者切口愈合率显著优于36℃患者,差异有统计学意义(P0.05)。结论老年开腹手术围术期患者SSI发生率与低体温有关,采取综合保温方法可对围术期低体温的发生进行有效的预防,且可使SSI发生率降低,具有重要临床研究价值。
[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 卤0.3), (, 36.4 卤0.2), (, 36.4 卤0.3), (, 36.4 卤0.2) 鈩，

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