Objective To observe the clinical effect of thermal insulation on the intraoperative stress reaction of patients in the op-erating room. Methods 136 cases with surgery admitted in the Department of Surgery of our hospital from May 2012 to May 2014 were randomly divided into the control group(n=68) and the observation group(n=68), treated by the conventional nursing, thermal insulation, respectively. And the physiological stress response was compared between the two groups. Results The physiological stress response decreased significantly in both groups after surgery compared with before surgery, and that decreased more obvious-ly in the observation group than in the control group (P<0.05). The level of physiological indexes lowered significantly in both groups after surgery compared with before surgery, and that lowered more obviously in the observation group than in the control group(P<0.05). The scores of patients' satisfaction with therapeutic effect, operation, attitude, environment and propaganda and ed-ucation were much better in the observation group than those in the control group(P<0.05). The level of physiological indexes low-ered significantly in both groups after surgery compared with before surgery, and that lowered more obviously in the observation group than in the control group(P<0.05). The scores of level of patients' satisfaction with therapeutic effect, operation, attitude, en-vironment and propaganda and education were much higher in the observation group than those in the control group (P<0.05). Conclusion Thermal insulation can significantly improve the stress reaction in patients in the operating room, enhance the quality of nursing, and make the patients recover quickly with good clinical application value.

目的 探讨术前访视与术后回访在手术室全程护理中的实践应用效果.方法 选取行外科手术的190例患者按照自愿原则分为对照组和试验组(n=95),对照组给予常规术前护理措施,试验组给予术前访视与术后回访,分析2组SAS评分和术中、术后疼痛情况.结果 试验组SAS评分及术中、术后疼痛程度均显著低于对照组,差异具有统计学意义(P<0.05).结论 术前访视与术后回访在手术室全程护理中可显著降低患者SAS评分,舒缓疼痛情况,具有积极的临床使用推广价值.

吸入麻醉是将吸入麻醉药通过机械回路进行通气送入患者的肺泡,形成麻醉药气体分压,弥散入血后,对中枢神经系统直接发生抑制作用,配合静脉用药,从而产生全身麻醉效应.吸入麻醉易于调控,因而安全、有效,能满足各种手术需要.静吸复合全麻有一定时间的诱导期.由于诱导期用药剂量大,机体状态的变化及麻醉药对心血管的作用影响剧烈,易出现躁动、喉痉挛等并发症.因此,做好静吸复合全麻的护理十分重要.现报告如下.

目的总结分析12例腹腔镜肾囊肿去顶术的护理配合。方法对肾囊肿行腹腔镜手术与传统手术相比较。结果腹腔镜手术具有出血少、切口创伤小、患者恢复快、术后并发症明显减少的优点并易于护理。结论腹腔镜肾囊肿去顶术是泌尿外科手术的一种微创术式,护理配合起着至关重要的作用。

<正>人工髋关节置换术是近20年矫形外科发展进步非常快的领域之一,它具有解除疼痛、纠正畸形、恢复功能的效果。使患者重获髋关节生理功能,达到稳定无痛、腰体等长的疗效,提高患者生命质量,术后疗效肯定,得到患者好评。总结我院共行人工髋关节置换术75例,在实践中笔者体会到术

<正>骨科手术新技术的开展以及术式的改进不仅对手术配合、麻醉方式提出了新的要求,而且对手术体位有了更高的要求,尤其是以前不常用的俯卧体位现在已成为脊柱手术的常用体位。俯卧位虽然是一种便于手术操作的被动体位,但易给患者增加潜在的危险。舒适的体位可以减轻患者的痛苦,使手术野暴露充分、手术医师操作顺利;体位摆放不当则

人工髋关节置换术是近20年矫形外科发展进步非常快的领域之一,它具有解除疼痛、纠正畸形、恢复功能的效果.使患者重获髋关节生理功能,达到稳定无痛、腰体等长的疗效,提高患者生命质量,术后疗效肯定,得到患者好评.总结我院共行人工髋关节置换术75例,在实践中笔者体会到术前术后患者的护理观察及术后患肢的功能锻炼指导在临床治疗中起到了重要的作用,现报告如下.

目的探讨2种不同浓度的罗哌卡因、芬太尼复合液用于前列腺切除术后PCEA的效果.方法选择硬膜外麻醉下行前列腺手术患者30例,随机分为2组.A组:0.25%罗哌卡因+0.002mg/ml芬太尼;B组:0.125%罗哌卡因+0.002mg/ml芬太尼术后给予硬膜外病人自控镇痛(PCEA).结果A组病人的VAS评分明显＜B组(P＜0.05),且用药量A组＜B组.结论0.25%罗派卡因用于PCEA镇痛效果优于0.125%罗派卡因.