体温保护在腹腔镜右肝叶切除术中的应用研究  

Research on the role of body temperature protection in laparoscopic right hepatic lobectomy

作　　者：刘宇权 肖卓辉 郑德强 曾志文[1] 肖胜兵[1] LIU Yuquan;XIAO Zhuohui;ZHENG Deqiang;ZENG Zhiwen;XIAO Shengbing(Anesthesiology Department,Meizhou People's Hospital,Guangdong,Meizhou 514031,China)

机构地区：[1]广东省梅州市人民医院麻醉科,广东梅州514031

出　　处：《中国医药科学》2020年第21期243-245,共3页China Medicine And Pharmacy

基　　金：广东省梅州市科技计划项目(2017B003)。

摘　　要：目的探讨体温保护在腹腔镜下右肝叶切除的应用效果。方法选取2017年1月~2019年9月我院收治行腹腔镜下右肝叶切除术患者80例,随机分为对照组和观察组,每组各40例;其中对照组未行体温保护干预,观察组则行体温保护干预;比较两组患者的围术期体温水平和术中出血量。结果对照组进入手术室时、手术开始时、术中、手术结束时及围术期的平均体温分别为(36.70±0.47)℃、(36.13±0.49)℃、(35.57±0.40)℃、(35.29±0.51)℃、(36.02±0.36)℃;观察组进入手术室时、手术开始时、术中、手术结束时及围术期的平均体温分别为(36.59±0.42)℃、(36.34±0.42)℃、(36.42±0.54)℃、(36.50±0.63)℃、(36.52±0.44)℃;两组进入手术室时和手术开始时的平均体温比较,差异无统计学意义(P>0.05);观察组术中、手术结束时及围术期的平均体温均高于对照组,差异有统计学意义(P<0.05);对照组和观察组的术中出血量分别为(427.30±65.98)mL和(382.61±49.40)mL,观察组术中出血量少于对照组,差异有统计学意义(P<0.05)。结论体温保护干预用于行腹腔镜下右肝叶切除术患者可有效维持围术期适宜体温,降低术中出血量。Objective To explore the effect of body temperature protection in laparoscopic right hepatic lobectomy.Methods A total of 80 patients admitted to our hospital and treated with laparoscopic right hepatic lobectomy from January 2017 to September 2019 were selected and randomly divided into the control group(n=40)and the observation group(n=40).Among them,the control group wasn't treated with body temperature protection intervention,while the observation group was treated with body temperature protection intervention.The perioperative body temperature level and intraoperative hemorrhage volume were compared between the two groups.Results The average body temperatures of the control group at the time of entering the operation room,at the beginning of operation,during operation,at the end of operation and during perioperative period were(36.70±0.47)℃,(36.13±0.49)℃,(35.57±0.40)℃,(35.29±0.51)℃,(36.02±0.36)℃.The average body temperatures of the observation group at the time of entering the operation room,at the beginning of operation,during operation,at the end of operation and during perioperative period were(36.59±0.42)℃,(36.34±0.42)℃,(36.42±0.54)℃,(36.50±0.63)℃,(36.52±0.44)℃.There were no significant differences in average body temperatures between the two groups at the time of entering the operation room and at the beginning of operation(P>0.05).The average body temperatures in the observation group during operation,at the end of operation and during perioperative period were higher than those in the control group,the differences were statistically significant(P<0.05).The intraoperative hemorrhage volume of the control group and the observation group were(427.30±65.98)mL and(382.61±49.40)mL.The intraoperative hemorrhage volume in the observation group was less than that in the control group,the difference was statistically significant(P<0.05).Conclusion Body temperature protection intervention for patients treated with laparoscopic right hepatic lobectomy can effectively maintain the a

关 键 词：体温保护 微创 肝叶切除术 围术期体温 出血量 

分 类 号：R735.7[医药卫生—肿瘤]