腹腔镜胃大部切除术后患者体温控制的相关研究

Correlational research on body temperature control after laparoscopic subtotal gastrectomy

  • 摘要: 目的 探讨体温控制对腹腔镜胃大部切除术后患者生命体征及炎症因子的影响。 方法 将行腹腔镜胃大部切除术的83例患者随机分为对照组(n=41)和实验组(n=42)。对照组麻醉复苏及回病房途中予以常规保暖措施; 实验组麻醉复苏及回病房途中予以体温控制措施。比较2组患者手术过程中直肠温度及术后不同时点的血压、心率、耳温以及炎症因子水平。 结果 实验组麻醉后1、2、3 h至手术结束时直肠温度均高于对照组,术后0.5、1、2、3 h心率均低于对照组,耳温高于对照组,术后炎症因子水平低于对照组,差异有统计学意义(P<0.05)。 结论 体温控制有助于增加腹腔镜胃大部切除术后患者生命体征的稳定性,降低炎症因子水平。

     

    Abstract: Objective To investigate the effect of body temperature control on vital signs and inflammatory factors after laparoscopic subtotal gastrectomy. Methods Eighty-three patients with laparoscopic subtotal gastrectomy were selected and randomly divided into control group(n=41)and experimental group(n=42). The control group was given routine warm-keeping measures during anesthesia recovery and returning to the ward, while the experimental group was given measures for body temperature control during anesthesia recovery and returning to the ward. The rectal temperature during operation, blood pressure, heart rate and ear temperature at different time points after operation as well as levels of inflammatory factors were compared between the two groups. Results The rectal temperature of the experimental group was significantly higher than that of the control group at the time points of 1, 2, 3 h after anesthesia and the end of operation, the heart rates at 0.5, 1, 2 and 3 h after operation were significantly lower than those of the control group, the ear temperature was significantly higher than that of the control group, and the postoperative levels of inflammatory factors were significantly lower than those of the control group(P<0.05). Conclusion Body temperature control can enhance the stability of vital signs and reduce the levels of inflammatory factors in patients with laparoscopic subtotal gastrectomy.

     

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