核心体温维持对老年腹腔手术患者围麻醉期的临床价值  

Clinical Value of Core Body Temperature Maintenance in Perioperative Anesthesia in Elderly Patients Undergoing Abdominal Surgery

作　　者：郭淑静[1] 韩继修 饶丽华[1] 张振[1] 胡北[1] 刘伟[1] GUO Shu-jing;HAN Ji-xiu;RAO Li-hua;ZHANG Zhen;HU Bei;LIU Wei(Department of Anesthesiology,Suqian People's Hospital,Nanjing Drum Tower Hospital Group,Suqian,Jiangsu Province,223800 China)

机构地区：[1]南京鼓楼医院集团宿迁市人民医院麻醉科,江苏宿迁223800

出　　处：《中外医疗》2020年第4期53-55,共3页China & Foreign Medical Treatment

摘　　要：目的分析老年腹腔镜手术患者围术期行核心体温维持的效果。方法便利选取该院2017年2月-2019年1月收治的83例老年腹腔镜手术患者为研究对象,按照随机数字表法将其分为两组,围麻醉期观察组行核心体温维持,对照组未行核心体温维持,对比两组患者结束手术时的血气情况、麻醉期各项指标情况以及并发症发生情况。结果与对照组对比,观察组麻醉苏醒时间、麻醉拔管时间更短,术中失血量与术中输血量更少,差异有统计学意义(t=39.438、20.126、8.266、11.256,P<0.05);与对照组(21.95%)对比,观察组(4.76%)并发症发生率更低,差异有统计学意义(χ^2=5.332,P<0.05)。结论老年腹腔镜手术患者围术期行核心体温维持的效果显著,利于降低并发症发生率,减少术中失血量,可推广。Objective To analyze the effect of core temperature maintenance in elderly patients undergoing laparoscopic surgery.Methods Convenient selection of 83 elderly patients undergoing laparoscopic surgery from February 2017 to January 2019 were divided into two groups according to the random digital table method.The core body temperature was maintained in the perioperative anesthesia observation group and no core body temperature was maintained in the control group.The blood gas,indexes and complications of the two groups at the end of the operation were compared.Results Compared the control group,the anaesthesia recovery time,anaesthesia extubation time and intraoperative blood loss were less in the observation group(t=39.438,20.126,8.266,11.256,P<0.05),compared with the control group(21.95%),the incidence of complications in the observation group(4.76%)was significantly lower than that in the control group(χ^2=5.332,P<0.05).Conclusion The core body temperature of elderly patients undergoing laparoscopic surgery should be maintained during perioperative period.The effect is remarkable,which is beneficial to reduce the incidence of complications and reduce the amount of blood lost during operation,which can be popularized.

关 键 词：老年 腹腔镜手术 围术期 核心体温维持 应用效果 

分 类 号：R614[医药卫生—麻醉学]