Effect of comprehensive thermal insulation intervention on reducing hypothermia in orthopedic surgery
综合保温干预在降低骨科手术低体温的效果研究

摘要

目的 研究综合保温干预减少骨科手术患者低体温的效果。方法 分别选取本科室两个时间段的患者为研究对象，其中2020年7月-11月收治的骨科患者30例作为对照组，采取常规保温措施，2021年7月-11月收治的骨科患者30例作为实验组，给予综合保温干预，统计两组低体温发生率，并统计术后切口感染情况、术中出血量及住院时间。结果 进入手术室时两组的体温基本持平（P>0.05），实验组患者的术中体温及术毕体温与进入手术室时的体温比较无明显变化，对照组术中体温及术毕体温明显下降，低于实验组（P<0.05）。实验组低体温发生率及切口感染率低于对照组，术中出血量少于对照组，住院时间短于对照组，比较差异均有显著性（P<0.05）。结论 对骨科手术患者实施综合保温干预有助于降低手术低体温发生率，且在降低切口感染率、减少术中出血量方面有明显作用，也有益于患者更快康复出院，有较高的临床推广价值。

Abstract

Objective: To study the effect of comprehensive thermal insulation intervention on reducing hypothermia in patients undergoing orthopedic surgery.
Methods: Patients in the undergraduate department at two time periods were selected as the research objects, including 30 orthopaedic patients admitted from July to November 2020 as the control group, and 30 orthopaedic patients admitted from July to November 2021 as the experimental group. Comprehensive thermal insulation intervention was given, and the incidence of hypothermia in the two groups was counted. Wound infection, intraoperative blood loss and hospital stay were counted.
Results: When entering the operating room, the body temperature of the two groups was basically the same (P>0.05), the intraoperative and post-operative body temperature of patients in the experimental group had no significant change compared with the body temperature when entering the operating room, the intraoperative and post-operative body temperature of patients in the control group decreased significantly, lower than that in the experimental group (P<0.05). The incidence of hypothermia and incision infection rate in the experimental group were lower than those in the control group, the amount of intraoperative blood loss was less than that in the control group, and the length of hospital stay was shorter than that in the control group, with significant differences (P<0.05).
Conclusion  : Comprehensive thermal insulation intervention for patients undergoing orthopedic surgery is helpful to reduce the incidence of surgical hypothermia, and has significant effects on reducing incision infection rate and intraoperative blood loss. It is also beneficial to patients' faster recovery and discharge, and has high clinical promotion value.