Research on the optimization of nursing intervention strategies for the prevention of hypothermia during orthopedic spinal surgery
骨科脊柱手术术中低体温预防的护理干预策略优化研究

摘要

目的 探究骨科脊柱手术术中低体温预防的护理干预。方法 选取2023.7~2024.9本院骨科收治的90例脊柱手术患者，随机进行分组，对照组45例实施常规护理，观察组45例实施术中低体温预防护理干预，对两组生命体征、临床指标、核心体温、并发症发生率进行比较。结果 术前时，两组DBP、SBP、HR水平相比，无显著差异（P>0.05），手术结束时，观察组各指标水平更低（P<0.05）；两组术中出血量比较，观察组更少（P<0.05），两组拔管时间、苏醒时间及住院时间比较，观察组更短（P<0.05）；两组术前核心体温比较，无显著差异（P>0.5），术后30min、60min、90min各时段核心体温比较，观察组更高（P<0.05）；观察组并发症发生率为4.444%，明显较对照组13.33%低（P<0.05）。结论 对骨科行脊柱手术的患者来说，术中积极实施保温护理干预可维持患者生命体征及核心体温平稳，促进尽快苏醒，积极预防低体温等并发症发生，促进早日出院，具有推广价值。

Abstract

Objective To investigate the nursing interventions for preventing hypothermia during spinal surgery in orthopedic patients.
Methods A total of 90 patients undergoing spinal surgery at our hospital from July 2023 to September 2024 were randomly divided into two groups. The control group (45 patients) received routine care, while the observation group (45 patients) received nursing interventions to prevent hypothermia during surgery. The vital signs, clinical indicators, core body temperature, and the incidence of complications were compared between the two groups.
Results Preoperatively, there was no significant difference in DBP, SBP, and HR levels between the two groups (P>0.05). However, at the end of surgery, the observation group had lower levels of all indicators (P<0.05). In terms of intraoperative blood loss, the observation group had less (P<0.05). Regarding extubation time, awakening time, and hospital stay, the observation group had shorter times (P<0.05). There was no significant difference in preoperative core body temperature between the two groups (P>0.5). However, at 30min, 60min, and 90min postoperatively, the observation group had higher core body temperatures (P<0.05). The complication rate in the observation group was 4.444%, significantly lower than the control group's 13.33% (P<0.05).
Conclusion   For patients undergoing spinal surgery in orthopedic departments, actively implementing warming nursing interventions during surgery can maintain stable vital signs and core body temperature, promote faster recovery, prevent hypothermia and other complications, and facilitate early discharge, making it a valuable intervention.