充气式保温毯在食管癌根治术中的应用效果分析  

Analysis of application effect of inflatable thermal blanket in radical resection of esophageal cancer

作　　者：李华[1] 张芳[1] 刘焕瑛 LI Hua;ZHANG Fang;LIU Huan-ying(Operation Room,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,Henan,China)

机构地区：[1]郑州大学附属郑州市中心医院手术室,河南郑州450007

出　　处：《中国校医》2022年第5期355-357,372,共4页Chinese Journal of School Doctor

摘　　要：目的探讨充气式保温毯对食管癌根治术患者低体温、苏醒效果及炎性因子的影响。方法按照随机数字表法将2017年4月—2020年4月本院确诊并进行根治术治疗的148例食管癌患者分为研究组与对照组(各74例),其中对照组给予常规保温,研究组给予充气式保温毯保温。比较两组患者各时间体温变化,术后苏醒时间、住院时间,术后低体温、寒战、苏醒延迟发生率以及手术前后炎性因子变化情况。结果研究组患者术后苏醒时间[(46.52±15.24)min]、住院时间[(7.56±2.44)d]比对照组[(58.63±16.44)min、(9.62±3.52)d]更短(t=4.647,4.138;P<0.001);研究组入室30 min[(36.63±0.85)℃]、出室时的体温[(36.61±0.76)℃]比对照组[(36.22±1.01)℃、(36.28±1.08)℃]更高(t=2.672、2.150,P<0.05);研究组患者术后低体温(6.76%)、寒战(1.35%)、苏醒延迟发生率(2.70%)比对照组(21.62%、10.81%、13.51%)更低(χ^(2)=6.715、4.259、5.804,P<0.05);术后,两组患者IL-6、TNF-α水平均明显升高,但研究组IL-6[(118.52±8.52)pg/ml]、TNF-α[(44.45±6.20)pg/ml]水平低于对照组[(140.52±8.74)pg/ml、(58.74±6.70)pg/ml](t=15.505、13.466、P<0.001)。结论手术过程中使用充气式保温毯能够缩短食管癌根治术患者术后苏醒时间、住院时间,同时降低患者低体温、寒战、苏醒延迟发生率,改善患者炎性因子水平,值得临床应用与推广。Objective To investigate the effects of inflatable thermal insulation blanket on hypothermia, recovery and inflammatory factors in patients with esophageal cancer after radical operation.Methods According to the random number table method, 148 cases of esophageal cancer patients diagnosed and treated with radical operation in our hospital from April 2017 to April 2020 were divided into a trial group and a control group(74 cases in each group). The control group was given the conventional heat preservation, and the trial group was given inflatable thermal insulation blanket. The changes of body temperature, postoperative recovery time, hospitalization time, incidence of postoperative hypothermia, shivering,recovery delay, and changes of inflammatory factors were compared between the two groups before and after operation.Results The postoperative recovery time [(46.52 ± 15.24) min] and hospital stay [(7.56 ± 2.44) d] in the trial group were shorter than those in the control group [(58.63 ± 16.44) min and(9.62 ± 3.52) d],(t = 4.647, 4.138;P < 0.001). The temperature of the trial group after entering the room for 30 minutes [(36.63 ± 0.85)℃] and exiting the room [(36.61 ± 0.76) ℃] was significantly higher than that of the control group [(36.22±1.01) ℃,(36.28±1.08) ℃],(t = 2.672, 2.150;P < 0.05). The incidence rates of postoperative hypothermia(6.76%), shivering(1.35%) and delayed awakening(2.70%) in the trial study group were lower than those in the control group(21.62%, 10.81% and 13.51%)(χ^(2)= 6.715, 4.259, 5.804, P < 0.05). After operation, the levels of IL-6 and TNF-α in the two groups were significantly increased, but the levels of IL-6 [(118.52 ± 8.52) pg/ml]and TNF-α [(44.45 ± 6.20) pg/ml] in the trial group were lower than those in the control group [(140.52 ± 8.74) pg/ml,(58.74 ±6.70) pg/ml],(t = 15.505, 13.466, P < 0.001).Conclusions The use of inflatable thermal insulation blanket in the operation process can shorten the recovery time and hospitalization time of patients after radic

关 键 词：食管癌 外科手术 体温 肿瘤坏死因子-Α 

分 类 号：R473.6[医药卫生—护理学]