Evaluation of the application effect of comprehensive intraoperative warming nursing care in elderly patients with lumbar compression fractures
老年腰椎压缩性骨折患者术中综合保温护理的应用效果评价

摘要

目的 总结分析术中综合保温护理对老年腰椎压缩性骨折患者的应用价值，探讨其对患者术中体温、凝血功能指标等影响。方法 取2023年1月-2025年1月我院老年腰椎压缩性骨折患者100例，判定符合纳入标准后入组开展本次研究，参照组50例均接受常规术中护理，研究组50例接受术中综合保温护理，对比护理效果，记录患者术中不同时间点体温、凝血功能指标、术后并发症发生率、住院时间、护理满意度，简列数据后，利用统计学软件SPSS30.0分析，判定组间差异。结果 经数据统计，患者术中不同时间点体温显示研究组高于参照组（P＜0.05）；PT、APTT指标研究组低于参照组（P＜0.05）；FIB水平研究组高于参照组（P＜0.05）；术后并发症发生率研究组低于参照组（P＜0.05）；住院时间研究组用时少于参照组（P＜0.05）；护理满意度研究组高于参照组（P＜0.05）。结论 术中综合保温护理在老年腰椎压缩性骨折患者中的应用，能够有效维持患者术中体温稳定，促使凝血功能改善，使术后并发症率降低，更利于术后恢复，进而缩短住院时间，效果获得患者满意，建议推广应用。

Abstract

Objective To summarize and analyze the application value of comprehensive intraoperative thermal insulation nursing for elderly patients with lumbar compression fractures, and explore its impact on patients' intraoperative body temperature, coagulation function indicators, and other indicators.
Methods A total of 100 elderly patients with lumbar compression fractures in our hospital from January 2023 to January 2025 were enrolled in this study after meeting the inclusion criteria. The reference group of 50 patients received routine intraoperative care, while the study group of 50 patients received comprehensive intraoperative insulation care. The nursing effects were compared, and the patients' body temperature, coagulation function indicators, incidence of postoperative complications, length of hospital stay, and nursing satisfaction were recorded at different time points during surgery. After summarizing the data, statistical software SPSS 30.0 was used to analyze the differences between the groups.
Results According to data statistics, the body temperature of patients at different time points during surgery showed that the study group was higher than the reference group (P<0.05); The PT and APTT indicators in the study group were lower than those in the reference group (P<0.05); The FIB level in the study group was higher than that in the reference group (P<0.05); The incidence of postoperative complications in the study group was lower than that in the reference group (P<0.05); The hospitalization time of the study group was less than that of the reference group (P<0.05); The nursing satisfaction study group was higher than the reference group (P<0.05).
Conclusion   The application of comprehensive intraoperative thermal insulation nursing in elderly patients with lumbar compression fractures can effectively maintain patient temperature stability during surgery, improve coagulation function, reduce postoperative complications, facilitate postoperative recovery, shorten hospitalization time, and achieve patient satisfaction. It is recommended to promote its application.