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| Application effect of the multidimensional warming measures for patients with ovarian cyst surgery during perioperative period |
| 1.Lu 'an Hospital of Traditional Chinese Medicine, Lu 'an, Anhui Province, 237000; 2.Jiangning Hospital Affiliated to Nanjing Medical University, Nanjing |
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Abstract To explore the application effect of the multidimensional warming measures for patients during ovarian cyst surgery. Methods: 98 patients who wanted ovarian cyst surgery in the hospital were selected and randomly divided into two groups (49 cases in each group) by the random number table from September 2021 to September 2023. The patients in both groups received standard nursing care and postoperative rapid recovery measures. On this basis, the patients in the control group were given standard warming measures, while the patients in the study group received multidimensional warming measures. The postoperative recovery status, the nasopharyngeal temperature at different time points, the values of pre- and postoperative coagulation function, such as fibrinogen (FIB), activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT) and D-dimer (DD), and the incidences of shivering during the awakening period and the postoperative complications of the patients were compared between the two groups. Results: The nasopharyngeal temperature of the patients in the study group at 30 min of the surgery beginning (36.53±0.18℃) and immediately after the surgery (36.50±0.21℃) were significantly higher than those (36.40±0.19℃ and 36.38±0.22℃) of the patients in the control group. The postoperative recovery time (24.26±5.28 min), the intestinal function recovery time (1.46±0.44d), the extubation time (26.48±5.31min) and the hospitalization time (4.15±1.26d) of the patients in the study group were significantly shorter than those (31.12±5.34min, 2.03±0.51d, 33.85±5.06min and 5.02±1.30d) of the patients in the control group. The values of APTT (24.09±3.29s), PT (11.75±1.03s) and TT (13.51±0.95s) of the patients in the study group at 4 hours after surgery were significantly higher than those (22.25±3.01s, 10.83±1.04s and 12.04±0.98s) of the patients in the control group. The values of FIB (4.25±0.77g/L) and DD (895.62±99.35μg/L) of the patients in the study group at 4 hours after surgery were significantly lower than those (4.82±0.69 g/L and 1028.49±95.06μg/L) of the patients in the control group. The incidence of shivering during the recovery period (20.4%) of the patients in the study group was significantly lower than that (38.8%) of the patients in the control group. The incidence of the postoperative complications (4.1%) of the patients in the control group was significantly lower than that (16.3%) of the patients in the control group (all P<0.05). Conclusion: The multidimensional warming measures for the patients during ovarian cyst surgery can maintain their intraoperative body temperature and stability of coagulation function, reduce their incidence of shivering, decrease their rate of postoperative complications and accelerate their postoperative recovery.
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