探讨老年腹股沟疝患者术中保温措施的应用效果。

分析2017年5月至2020年6月在安徽省第二人民医院接受开腹无张力修补手术治疗的腹股沟疝老年患者60例。对照组患者30例，采用围手术期常规护理干预；观察组患者30例，采用常规护理干预联合术中保温措施。观察2组患者的手术情况（麻醉时间、手术时间、失血量、输液量）、术中体温情况、术前1 d与术后3 d的炎性因子水平[白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）、C反应蛋白（CRP）]、术后恢复情况（下床活动时间、肠功能恢复时间、首次进食时间、肠鸣音恢复时间、住院时间）、术后并发症。

2组的麻醉时间、手术时间、失血量、输液量、术前体温和手术开始后5 min体温数据差异无统计学意义（P>0.05）。2组患者的手术开始后30 min和手术结束时体温差异有统计学意义（P<0.05）。术后3 d，2组的IL-6、TNF-α、CRP均明显增高，观察组在术后3 d的IL-6、TNF-α、CRP均低于对照组（P<0.05）。2组患者的下床活动时间、住院时间比较，差异无统计学意义（P>0.05）。观察组的肠鸣音恢复时间少于对照组（P<0.05）。2组的术后并发症比较，差异无统计学意义（P>0.05）。

对于接受腹股沟疝手术的老年患者，手术中使用常规护理措施的基础上采取保温措施进行干预，有利于保持体温，促进术后恢复，降低并发症风险。

To explore the effect of perioperative heat preservation measures during inguinal hernia surgery in the elderly.

From May 2017 to June 2020, a total of 60 elderly patients with inguinal hernia who underwent open tension-free repair surgery at the Second People's Hospital of Anhui Province were analyzed. Thirty patients who received routine care intervention during the perioperative period served as the control group, and 30 patients who received routine care intervention combined with intraoperative heat preservation as the observation group. The operation status of the two groups of patients (anesthesia time, operation time, blood loss, fluid infusion), intraoperative body temperature, the concentration of inflammatory factors [interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), C-reactive protein (CRP)], postoperative recovery (time to get out of bed, time to recover bowel sounds, first eating time, bowel sound recovery time, length of hospital stay), and postoperative complications were observed.

The differences in anesthesia time, operation time, blood loss, fluid infusion volume, preoperative body temperature and body temperature at 5 minutes after starting operation between the two groups were not statistically significant (P>0.05). There were significant differences in body temperature between the two groups at 30 minutes after starting operation and at the end of operation (P<0.05). On the 3rd postoperative day, IL-6, TNF-α, and CRP in the two groups were significantly increased, and the IL-6, TNF-α, and CRP in the observation group were lower than those in the control group on the 3rd postoperative day (P<0.05). There were no statistically significant differences in the time of getting out of bed and length of stay in the two groups of patients (P>0.05). The recovery time of bowel sounds in the observation group were shorter than that in the control group (P<0.05). The difference in postoperative complications data between the two groups was not statistically significant (P>0.05).

For elderly patients undergoing inguinal hernia surgery, conventional nursing measures combined with heat preservation measuresduring the operation is beneficial to maintain body temperature, can promote postoperative recovery and reduce the risk of complications.