Volume 22 Issue 10
Oct.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(10): 1795-1799
CHEN Lanping, BAO Yingxue, ZHOU Xiaodong, SHEN Guohua, SHAO Xuanhe, XU Zhidi. Effect of temperature protection-based nursing intervention on anesthesia resuscitation and flap outcomes in patients undergoing complex trauma surgery[J]. Chinese Journal of General Practice, 2024, 22(10): 1795-1799. doi: 10.16766/j.cnki.issn.1674-4152.003736
Citation: CHEN Lanping, BAO Yingxue, ZHOU Xiaodong, SHEN Guohua, SHAO Xuanhe, XU Zhidi. Effect of temperature protection-based nursing intervention on anesthesia resuscitation and flap outcomes in patients undergoing complex trauma surgery[J]. Chinese Journal of General Practice, 2024, 22(10): 1795-1799. doi: 10.16766/j.cnki.issn.1674-4152.003736
shu

Effect of temperature protection-based nursing intervention on anesthesia resuscitation and flap outcomes in patients undergoing complex trauma surgery

doi: 10.16766/j.cnki.issn.1674-4152.003736
  • 1.

    Department of Osteoarthrosis, Affiliated Hospital of Shaoxing University of Arts and Sciences, Shaoxing, Zhejiang 312000, China

Funds:

 2022KY496

  • Received Date: 2024-03-10
    Available Online: 2024-12-28
    Abstract
  •   Objective   To evaluate the effect of thermoprotection-based nursing interventions on anaesthesia resuscitation and flap survival in patients undergoing complex trauma surgery, and to provide a reference for postoperative recovery.   Methods   A total of 152 complex trauma surgery patients were treated at the Affiliated Hospital of Shaoxing University of Arts and Sciences from January 2023 to February 2024 were selected. The patients were divided into two groups using the red and blue ball method: 76 in the control group and 76 in the thermostatic group. The control group received standard operating room care, while the thermostatic group received nursing interventions based on thermoprotection in addition to standard card. The two groups of patients were compared in terms of core temperature changes, anesthesia resuscitation efficiency, and skin flap prognosis.   Results   The surgeries were successfully completed by both patient groups. The thermostatic group had significantly higher core body temperature during tracheal intubation, at the start of surgery, and 30 minutes after surgery compared to the control group (P < 0.01), with the largest fluctuation occurring during tracheal intubation. The thermostatic group experienced a decreased incidence of hypothermia (7.89%, 6/76) compared to the control group (21.05%, 16/76), with statistically significant difference (P < 0.05). Patients in the thermostatic group woke up earlier and spent less time in the anesthesia recovery room than patients in the control group. At 15 minutes post-operation, the Steward awakening score of the thermostatic group was higher than that of the control group, with statistically significant difference (P < 0.05). Regarding flap survival, the control group had 40 cases of complete flap survival, 27 cases of partial flap survival, and 9 cases of necrosis, while the thermostatic group had 54 cases of complete flap survival and 20 cases of partial flap survival, and 2 cases of necrosis. Additionally, the thermostatic group had a shorter time of flap elasticity recovery than the control group, with statistically significant differences (P < 0.05).   Conclusion   Thermoprotection-based nursing interventions for patients undergoing complex trauma surgery can prevent and lessen the risk of intraoperative hypothermia, maintain the relatively stable body temperature, enhance early postoperative anesthesia recovery, shorten recovery time, and encourage the restoration of flap tissues elasticity, thereby facilitating faster trauma healing.

     

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