加温二氧化碳建立气腹对腹腔镜手术患者术中体温及术后寒颤发生率的影响分析  

Analysis of the effect of warming carbon dioxide to establish pneumoperitoneum on intraoperative body temperature and postoperative shivering in patients who undergoing laparoscopic surgery

作　　者：王凯明 Wang Kaiming(The People's Hospital of Suixi County,Zhanjiang City,Guangdong Zhanjiang 524300)

机构地区：[1]湛江市遂溪县人民医院,广东湛江524300

出　　处：《中国社区医师》2021年第19期53-54,共2页Chinese Community Doctors

摘　　要：目的:探讨加温二氧化碳建立气腹对腹腔镜手术患者的影响。方法:选取2019年2月-2020年2月拟行腹腔镜手术治疗的患者90例,随机分为两组,各45例。对照组采用常规方案建立二氧化碳气腹;观察组采用加温二氧化碳建立气腹。比较两组患者围术期不同时间节点的体温变化、寒颤发生率及围术期指标水平。结果:观察组建立气腹60 min、关闭气腹时、手术结束时的体温均高于对照组,差异有统计学意义(P<0.05);观察组术中出血量及术后住院时间均低于对照组,差异有统计学意义(P<0.05);观察组寒颤、躁动及低体温的发生率低于对照组,差异有统计学意义(P<0.05)。结论:加温二氧化碳建立气腹,能显著改善患者术中体温流失,降低寒颤等不良事件的风险。Objective:To investigate the effect of warming carbon dioxide to establish pneumoperitoneum on laparoscopic surgery.Methods:From February 2019 to February 2020,90 cases of patients who were scheduled to undergoing laparoscopic surgery were enrolled,they were randomly divided into two groups with 45 cases in each group.The control group adopted the conventional plan to establish carbon dioxide pneumoperitoneum.The observation group used warming carbon dioxide to establish pneumoperitoneum.The changes of body temperature,the incidence of shivering and the index of perioperative period were compared.Results:The body temperature of the observation group was higher than the control group when the pneumoperitoneum was established for 60 minutes,when the pneumoperitoneum was closed,and at the end of the operation,the differences were statistically significant(P<0.05).The intraoperative bleeding volume and postoperative lengths of hospital stay in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of shivering,restlessness and hypothermia in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The establishment of pneumoperitoneum by warming carbon dioxide can significantly improve the loss of body temperature during operation and reduce the risk of adverse events such as shivering.

关 键 词：腹腔镜手术 加温二氧化碳 气腹建立 手术并发症 寒颤 

分 类 号：R656[医药卫生—外科学]