Abstract: Objective To explore the efficacy of active heat preservation(heating blanket combined with self- heating paste) in elderly patients undergoing Transurethral Resection of the Prostate (TURP). Methods From January to December 2017,100 elderly patients undergoing TURP were recruited and randomly divided into the experimental group (50 cases) and the control group (50 cases) using random number table method. Both groups were treated with heating blanket for active heat preservation from entering the operating room to leaving the postoperative room. Cotton blanket for passive heat preservation was applied for lower extremities during operation with lithotomy position. In addition#the experimental group used self-heating paste under the feet outside the socks for active heat preservation. Results Core body temperature decreased slightly and tended to be stable in the experimental group compared to the control group at 1h#2h#and 3h after anesthesia(P<0.05),and the incidence of hypothermia and shivering was lower in the experimental group than those in the control group(12% v.s. 54%,2% v.s. 32%，P<0.05); the thermal comfort score of the experimental group (8.44 ± 0.56) was higher than that of the control group (6.25 ± 0.78)，the difference was statistically significant (P<0.05)..Conclusion Active heat preservation (heating blanket combined with self-heating paste) can provide effective body temperature protection for elderly.

Key words: Aged, Prostatectomy, Body Temperature, Nursing Care

摘要： 目的 评价升温毯联合自发热贴的主动保温措施在老年前列腺电切患者术中保温的应用效果。方法 选取2017年1月一12月择期行前列腺电切术老年患者100例，采用随机数字表法分为实验组和对照组，每组50例，两组在进入手术室至出恢复室全程采用升温毯主动保温，手术截石位时双下肢覆盖棉毯被动保温。实验组在摆放体位前双足脚掌部秣子外面粘贴一次性自发热贴主动保温。记录两组保温前后、麻醉过程中及进出恢复室时鼓膜温度、术后寒战发生次数、热舒适度评分。结果 实验组在麻醉后1h、2h、3h各个时间点，与对照组相比，术中核心体温下降幅度小，趋于稳定（P<0.05),低体温、寒战发生率低（P<0.05);实验组热舒适度评分为（8.44±0.56)分，高于对照组(6.25±0.78)分，差异有统计学意义（P<0.05)。结论 采用升温毯联合自发热贴可维持老年患者前列腺电切术中平稳的体温，降低低体温及寒战发生，提高热舒适度，可为患者提供有效的体温保护。

关键词: 老年人, 前列腺切除术, 体温, 护理