| In recent years, a huge upsurge in number of elderly patients of abdominalsurgery increased the incidence of low temperature in elderly abdominal surgeryStudies have found that low temperature not only make patients had postoperativediscomfort feeling, also produce the extremely serious influence on central nervoussystem, circulatory system, immune mechanism, coagulation mechanism, drugmetabolism and other aspects, to make all kinds of complications of patientsincreased significantly, prevent hypothermia has attracted more and more attention.The ability to regulate body temperature decreased the elderly themselves, for theprotection of the elderly, the temperature in the operation to reduce the occurrence oflow temperature has become an urgent problem to solve. composite heatpreservation is the integrated use of several kinds of heat preservation measures, tomaintain body temperature stable patients with operation process, but the compositethermal insulation measures of clinical application of abdominal operation in elderlypatients is not much, the insulation effect and significance of elderly patients needfurther research.Objective: Research and discuss the factors that lead to hypothermia in patientsundergoing abdominal operation in senile occurrence, effect evaluation and analysisof application of composite heat preservation measures of thermal insulation,composite heat preservation measures summarized application significance.Methods: This study selected120cases of elderly abdominal operationperformed patients were operated under general anesthesia from May2013to March2014, Were randomly divided into observation group and control group,60cases ineach group. The patients in the observation group were treated by composite heatpreservation measures; the control group was treated with conventional insulationmeasures. Were recorded at baseline(T0)、 before anesthesia(T1)、30min afteranesthesia(T2)、60min after anesthesia(T3)、120min after anesthesia(T4)、180min after anesthesia(T5)、the end of operation(T6) in patients with rectal temperature, bloodpressure and heart rate, and recorded the awakening time, extubation time,gastrointestinal exhaust time and patients after anesthesia patients whether havechills, the occurrence of SSI. The collected data were sorted and analyzed, using theSPSS17.0statistical software package to process all the data.Results:1. The body temperature of patients was not significantly different between twogroups at T0, while was at T1～T6. Furthermore, the body temperature of patients inobservation group was significantly higher than control group（P＜0.05）.2. The difference between observation group and control group in age, gender,weight, ASA score, operation tine, operation warlock, intraoperative bloodtransfusion volume, the quantity of flushing fluid and after entering operation roomtemperature was not statistically significant. The two group had comparability.3. The observation group patients body temperature were no obvious fluctuation,no statistical significance at T1～T6and at T0differences, and no low temperatureoccurred, while the control group of patients body temperature started to declinefrom T2, and low temperature occurs at T5～T6.4. HR, SBP and DBP were not significantly different between two groups at T0,while were at T1～T6. Furthermore, HR, SBP and DBP in observation group weresignificantly lower than control group（P＜0.05）.5. Anesthesia recovery time in patients with significant differences in the twogroups of comparison, with statistical significance（P＜0.05）, the patients inobservation group were anesthesia recovery time was significantly shorter than thatin control group.6. Postoperative tracheal extubation time of patients were significantly differentin the two groups in the comparison, with statistical significance（P＜0.05）, theobservation group patients postoperative tracheal extubation time was significantlyshorter than that in control group.7. Gastrointestinal exhaust time of patients were difference between the two groups in comparison significantly, with statistical significance（P＜0.05）, theobservation exhaust time was significantly shorter than that in control group.8. The patients incidence of shivering were difference between the two groupsin comparison significantly, with statistical significance（P＜0.05）, and theobservation group occurred shivering ratio(8.3%) was significantly lower than thecontrol group(36.0%)9. Postoperative SSI differences in the incidence between the two group weresignificant, with statistical significance（P＜0.05）, and to investigate the occurrencerate of group SSI(5.0%) was significantly lower than the control group(18.3%).Conclusion:1. Composite heat preservation can ensure that the temperature of the elderlypatients with abdominal operation in the stable, and effectively reduce theoccurrence of postoperative abdominal operation in elderly patients with low bodytemperature.Intraoperative hypothermia can make the drug metabolism slows, effectof anesthesia drug metabolism in the human body is prolonged, the influence ofpatients in anesthesia recovery time and extubation time.2Composite heat preservation can ensure the operation center in elderlypatients with abdominal operation rate, blood pressure and other vital signs smoothly,shorten the anesthesia tracheal extubation time and awake time, ensure the safety ofpatients, operation process smooth.3Composite heat preservation measures can reduce abdominal operation inelderly shivering, the incidence of SSI, reduce the incidence of postoperativecomplications in patients, is conducive to the resumption of the disease, and ensuresafety of operation, improve the operation quality of nursing. |
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