摘要
目的探讨围手术期体温保护在胃癌手术患者中的应用效果。方法随机数字表法、单盲原则将126例进展期胃癌患者分为对照组和观察组,每组63例,对照组患者术后接受快速康复外科干预,观察组患者在此基础上接受围手术期体温保护措施。入室时(T_(1))、诱导前(T_(2))、术中(T_(3))、关腹时(T_(4))、拔管时(T_(5))、离开麻醉复苏室(PACU)(T_(6))时,比较两组患者的核心体温;比较两组患者的一般手术指标、术后一般临床指标和并发症发生情况。结果T2~T6时,观察组患者的核心体温均高于对照组患者,差异均有统计学意义(P﹤0.05)。观察组患者术中出血量明显少于对照组患者,首次排便时间和住院时间均明显短于对照组患者,差异均有统计学意义(P﹤0.01)。观察组患者的寒战发生率为9.52%,低于对照组患者的23.81%,差异有统计学意义(P﹤0.05);观察组患者的尿量明显少于对照组患者,差异有统计学意义(P﹤0.01)。观察组患者并发症总发生率为17.46%,明显低于对照组患者的31.75%,差异有统计学意义(P﹤0.01)。结论快速康复外科联合体温保护可有效改善胃癌手术患者的核心体温,降低寒战和术后并发症的发生率,有利于患者预后。
Objective To explore the effect of perioperative body temperature protection in patients with gastric cancer surgery.Method Random number table method and single-blind principle divided 126 patients with advanced gastric cancer into a control group and an observation group,each with 63 cases.The control group received rapid rehabilitation surgical intervention after the operation,and the observation group received perioperative temperature protection measures on this basis.When entering the room(T_(1)),before induction(T_(2)),during operation(T_(3)),when closing the abdomen(T_(4)),when extubating(T_(5)),and when leaving the postanesthesia care unit(PACU)(T_(6)),the core temperature,general surgical indicators,postoperative general clinical indicators and complications of the two groups were compared.Result At T_(2)-T_(6),the core body temperature of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative bleeding,first defecation time and hospital stay of the observation group were significantly lower than those of the control group(P<0.01).The incidence of chills in the observation group was 9.52%,which was lower than 23.81%in the control group,and the difference was statistically significant(P<0.05);the urine output of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.01).The total incidence of complications in the observation group was 17.46%,which was significantly lower than the 31.75%of the control group,and the difference was statistically significant(P<0.01).Conclusion Rapid rehabilitation surgery combined with body temperature protection can effectively improve the core body temperature,reduce the incidence of chills and postoperative complications,which is beneficial to the prognosis of patients.
作者
郭瑞萍
翟玲玲
刘璐
张寒梅
GUO Ruiping;ZHAI Lingling;LIU Lu;ZHANG Hanmei(Department of Nursing,Zhengzhou Central Hospital Afflliated to Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Orthopaedic Rehabilitation Ward,Zhengzhou Central Hospital Afflliated to Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Surgery,Zhengzhou Central Hospital Afflliated to Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2021年第4期422-425,共4页
Oncology Progress
关键词
进展期胃癌
快速康复外科
体温保护
围手术期
预后
advanced gastric cancer
rapid rehabilitation surgery
body temperature protection
perioperative period
prognosis
