[1]牛海珍,尹志朋,潘瑞,等.复合保温策略对老年结直肠癌手术患者术中非计划性低体温的影响[J].西部中医药,2023,36(08):78-81.[doi:10.12174/j.issn.2096-9600.2023.08.19]
　NIU Haizhen,YIN Zhipeng,PAN Rui,et al.Effects of Composite Insulation Strategy on Intraoperative Unplanned Hypothermia in Elderly Patients undergoing Colorectal Cancer Surgery[J].Western Journal of Traditional Chinese Medicine,2023,36(08):78-81.[doi:10.12174/j.issn.2096-9600.2023.08.19]
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复合保温策略对老年结直肠癌手术患者术中非计划性低体温的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年08期
页码:
78-81
栏目:
出版日期:
2023-08-15

文章信息/Info

Title:
Effects of Composite Insulation Strategy on Intraoperative Unplanned Hypothermia in Elderly Patients undergoing Colorectal Cancer Surgery
作者:
牛海珍, 尹志朋, 潘瑞, 解凤磊, 王少华, 王娜, 马岩, 李梦思, 盖莹莹
亳州市人民医院，安徽 亳州 236800
Author(s):
NIU Haizhen, YIN Zhipeng, PAN Rui, XIE Fenglei, WANG Shaohua, WANG Na, MA Yan, LI Mengsi, GAI Yingyiing
The People's Hospital of Bozhou, Bozhou 236800, China
关键词:
结直肠癌; 手术; 非计划性低体温; 复合保温策略
Keywords:
colorectal cancer; surgery; unplanned hypothermia; composite insulation strategy
分类号:
R735.3+7
DOI:
10.12174/j.issn.2096-9600.2023.08.19
文献标志码:
B
摘要:
目的探讨复合保温策略对老年结直肠癌手术患者术中非计划性低体温的影响。 方法选取100例老年结直肠癌手术患者，随机分为观察组和对照组，每组50例。对照组入手术室后给予常规保温干预，观察组给予复合保温干预，比较两组入室后（T0）、麻醉前（T1）、麻醉后30 min（T2）、麻醉后60 min（T3）、麻醉后120 min（T4）、手术结束时（T5）时间点体温、血压心率变化情况及术中寒战发生率、苏醒时间、气管拔管时间、并发症发生率。 结果两组T0、T1时间点核心体温水平比较，差异无统计学意义（P＞0.05）；观察组T2、T3、T4、T5时间点核心体温水平高于对照组（P＜0.05）；观察组T4、T5时间点术中低体温发生率均低于对照组（P＜0.05）；观察组T2、T3、T4、T5时间点收缩压、舒张压、心率水平低于对照组（P＜0.05）；观察组术中寒战发生率低于对照组（P＜0.05）；观察组苏醒时间、气管拔管时间短于对照组（P＜0.05）；观察组术后并发症发生率低于对照组（P＜0.05）。 结论老年结直肠癌手术患者应用复合保温策略保暖效果良好，可有效维持患者术中体温、血压、心率，缩短患者麻醉苏醒时间及拔管时间，降低低体温和寒战发生风险及术后并发症发生率。
Abstract:
ObjectiveTo explore the effects of composite insulation strategy on intraoperative unplanned hypothermia in elderly patients undergoing colorectal cancer surgery. MethodsA total of 100 elderly patients undergoing colorectal cancer surgery in the hospital were randomized into the observation group and the control group with 50 cases in each group. The control group were given routine insulation intervention after entering the operating room, and the observation group composite insulation intervention, to compare the changes of body temperature, blood pressure and heart rate, the incidence of intraoperative chills, recovery time, tracheal extuba-tion time and the incidence of the complications at time points after admission (T0), before anesthesia (T1), 30 min after anesthesia (T2), 60 min after anesthesia (T3), 120 min after anesthesia (T4) and at the end of surgery (T5) in the two groups. ResultsThe difference had no statistical meaning in core body temperature between both groups at the time of T0 and T1(P>0.05); core body temperature of the observation group was higher than that of the control group at time points of T2, T3, T4 and T5 (P<0.05); the incidence of lower temperature of the observation group was lower than that of the control group at T4 and T5 (P<0.05); the levels of SBP, DBP and HR of the observation group were lower than these of the control group at T2, T3, T4 and T5 (P<0.05); the incidence of intraoperative chills of the observation group was lower than that of the control group (P<0.05); the observation group was shorter than the control group in recovery time and tracheal extubation time (P<0.05); the observation group was lower than the control group in the incidence of postoperative complications (P<0.05). ConclusionComposite insulation strategy applied in elderly patients undergoing colorectal cancer surgery could gain good effects, it could effectively maintain the patients' body temperature, blood pressure and heart rate, shorten recovery time from anesthesia and extubation time, reduce the risks of hypothermia, chills and postoperative complications.

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备注/Memo

备注/Memo:
牛海珍（1984—），女，主管护师。研究方向：结直肠癌的手术治疗。国家卫生健康委“十四五”规划重点课题（YYWS2930）。
更新日期/Last Update: 2023-08-15