Clinical observation of intraoperative thermal insulation nursing in laparoscopic hiatal hernia repair combined with fundoplication

doi:10.3877/cma.j.issn.2095-8765.2018.03.011

Abstract

Abstract:

Objective

To investigate the operative heat preservation nursing in laparoscopic hiatal hernia repair and fundoplication surgery.

Methods

Prospective analysis from February 2016 to November 2016 in the people's hospital of Xinjiang Uygur Autonomous Region which underwent laparoscopic hiatal hernia repair patients with a total of 92 patients were randomly divided into observation group and control group . Operative control group with routine nursing, the observation group based on the insulation measures, compared 2 groups of patients with intraoperative body temperature, the amount of intraoperative bleeding, postoperative hypothermia, postoperative awake time, extubation time.

Results

compared with the control group in the observation group were temperature, fundoplication temperature, postoperative body temperature is higher, the amount of bleeding, postoperative extubation is short, the differences were statistically significant (P<0.05).

Conclusion

laparoscopic esophageal hiatus application of intraoperative nursing insulation folding hole hernia combined with gastric surgery, can reduce the occurrence of low temperature, reduce the amount of bleeding, so as to improve the operation efficiency of success.

Key words: Fundoplication, Hernia, hiatal, Intraoperative thermal insulation, Nursing effect

Julati Amina·, Xiaoping Jin. Clinical observation of intraoperative thermal insulation nursing in laparoscopic hiatal hernia repair combined with fundoplication[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2018, 05(03): 140-142.

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Figures/Tables 2

References 11

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组别	例数	年龄（岁，±s）	性别［例（%）］		BMI（kg/m²，±s）	术前基础体温	手术麻醉时间	术中补液量
组别	例数	年龄（岁，±s）	男性	女性	BMI（kg/m²，±s）	（℃，±s）	（min，±s）	（ml，±s）
观察组	46	55.91±5.80	25（54.3）	21（45.7）	26.22±4.91	36.92±0.48	112.9±32.4	1735.58±320.25
对照组	46	54.87±6.96	27（58.7）	19（41.2）	25.85±5.10	36.61±0.53	116.9±29.2	1700.32±335.56
t值	?	1.066	0.914		1.622	0.882	0.904	1.002
P值	?	0.245	0.352		0.09	0.523	0.358	0.239

组别	例数	年龄（岁，±s）	性别［例（%）］		BMI（kg/m²，±s）	术前基础体温	手术麻醉时间	术中补液量
组别	例数	年龄（岁，±s）	男性	女性	BMI（kg/m²，±s）	（℃，±s）	（min，±s）	（ml，±s）
观察组	46	55.91±5.80	25（54.3）	21（45.7）	26.22±4.91	36.92±0.48	112.9±32.4	1735.58±320.25
对照组	46	54.87±6.96	27（58.7）	19（41.2）	25.85±5.10	36.61±0.53	116.9±29.2	1700.32±335.56
t值	?	1.066	0.914		1.622	0.882	0.904	1.002
P值	?	0.245	0.352		0.09	0.523	0.358	0.239

组别	例数	术中体温（℃）	术后15 min体温（℃）	胃底折叠术时体温（℃）	术毕体温（℃）	术中出血量（ml）	术后苏醒时间（min）	拔除气管插管时间（min）
观察组	46	36.33±0.42	36.21±0.62	36.30±0.52	36.44±0.43	88.78±39.42	60.41±14.23	22.22±7.39
对照组	46	35.20±0.66	35.39±0.58	34.99±0.81	35.34±0.59	122.21±35.21	62.41±17.23	23.57±6.98
t值	?	6.882	9.050	12.630	2.078	-2.771	0.807	3.814
P值	?	<0.001	<0.001	<0.001	0.033	0.007	0.422	0.021

组别	例数	术中体温（℃）	术后15 min体温（℃）	胃底折叠术时体温（℃）	术毕体温（℃）	术中出血量（ml）	术后苏醒时间（min）	拔除气管插管时间（min）
观察组	46	36.33±0.42	36.21±0.62	36.30±0.52	36.44±0.43	88.78±39.42	60.41±14.23	22.22±7.39
对照组	46	35.20±0.66	35.39±0.58	34.99±0.81	35.34±0.59	122.21±35.21	62.41±17.23	23.57±6.98
t值	?	6.882	9.050	12.630	2.078	-2.771	0.807	3.814
P值	?	<0.001	<0.001	<0.001	0.033	0.007	0.422	0.021

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