摘要
目的探究深度肌松下腹腔镜直肠癌手术通过综合干预措施对术中低体温的预防作用。方法选择2022年6月—2023年1月浙江省肿瘤医院收治的直肠癌120例患者纳入研究分析,通过计算机自动生成的随机数将研究对象分为研究组和对照组,每组各60例。研究组患者给予综合干预措施,对照组则给予常规保温。比较组间术中及术后恢复体温的变化及其他治疗相关变量间的差异。结果研究组和对照组间的基本人口学特征与术前放疗化疗情况、美国麻醉医师协会分级、总输液量和尿量等手术相关指标比较差异均无统计意义(P>0.05)。麻醉诱导后所有患者的核心体温均呈现出下降趋势;研究组和对照组患者在术中不同时间点体温差异均有统计学意义(P<0.001);在手术进行0.5~3.0 h,研究组患者的体温均显著高于对照组(P<0.001)。恢复室内所有患者的核心体温在总体上均呈上升趋势;研究组和对照组患者在术后恢复室不同时间点的体温差异均有统计学意义(P<0.001);在术后恢复室的不同时间点,研究组患者的体温均显著高于对照组(P<0.001)。此外,研究组患者达到Aldrete评分10分的平均时间显著短于对照组(P<0.001)。对照组内9例患者表现出寒战,研究组内仅为2例。结论综合干预措施能够有效预防深度肌松下腹腔镜直肠癌手术低体温的发生率,缩短恢复时间。
Objective To investigate the efficacy of comprehensive intervention measures in preventing intraoperative hy-pothermia in laparoscopic rectal cancer surgery under deep muscle relaxation.Methods A total of 120 patients with rec-tal cancer treated at Zhejiang Cancer Hospital between June 2022 and January 2023 were selected for inclusion in the re-search analysis.The subjects were randomly assigned to either the study group or the control group,with 60 cases in each group.The study group received comprehensive intervention measures,while the control group was administered routine heat preservation.The differences in intraoperative and postoperative recovery body temperature changes and other treat-ment-related variables were compared between the two groups.Results No significant differences were observed between the study group and the control group with regard to basic demographic characteristics,preoperative radiotherapy and chemotherapy,American society of aneshesiologists classification,total infusion volume,and urine volume(P>0.05).Following the administration of anaesthetic agents,a decline in core body temperature was observed in all patients.A sta-tistically significant difference in body temperature was observed between the study group and the control group at various time points during the surgical procedure(P<0.001).A significant difference in body temperature was observed between the study and control groups during the 0.5-3.0 h following surgery(P<0.001).The overall trend for the core body temperature of all patients in the recovery room was an increase.A statistically significant difference was observed in body temperature between the study group and the control group at various time points during the postoperative recovery period(P<0.001).At different time points within the postoperative recovery room,the body temperature of patients in the stud-y group was found to be significantly higher than that of the control group(P<0.001).Furthermore,the mean time to a-chieve an Aldrete score of 10 was signific
作者
杨明明
朱秋燕
顾斌
汪露萍
YANG Mingming;ZHU Qiuyan;GU Bin;WANG Luping(Operating Room of Zhejiang Cancer Hospital,Hangzhou,Zhejiang 310022,China)
出处
《中华全科医学》
2024年第10期1687-1690,1731,共5页
Chinese Journal of General Practice
基金
浙江省医药卫生科技计划项目(2022KY694)。
关键词
直肠癌
深度肌松
腹腔镜
手术
低体温
Rectal cancer
Deep muscle relaxation
Laparoscopy
Surgery
Hypothermia
