体温保护在腹腔镜子宫肌瘤剔除术围手术期中的应用效果  

The application effect of temperature protection in the perioperative period of laparoscopic myomectomy

作　　者：高雅静 张洁 颜玉婷 梁晓丽 黄晓雷 李元涛 GAO Yajing;ZHANG Jie;YAN Yuting;LIANG Xiaoli;HUANG Xiaolei;LI Yuantao(Department of Anesthesiology,Shenzhen Maternity and Child Healthcare Hospital of Southern Medical University,Shenzhen,Guangdong,518028,China)

机构地区：[1]南方医科大学附属深圳妇幼保健院麻醉科,广东深圳518028

出　　处：《当代医学》2023年第12期5-9,共5页Contemporary Medicine

摘　　要：目的探究体温保护在腹腔镜子宫肌瘤剔除术围手术期中的应用效果。方法选取2020年3—12月于本院行腹腔镜子宫肌瘤剔除术的100例患者作为研究对象,按照随机数表法分为对照组与观察组,每组50例。两组均进入术前区(T_(0))测得耳温枪温度后进行体温保护,对照组给予常规全身覆盖棉被保温,观察组则棉被下全身覆盖充气加温毯保温,比较两组T_(0)、入手术间时(T_(1))、麻醉诱导时(T_(2))、手术切皮时(T_(3))、手术开始1 h时(T_(4))、手术结束时(T_(5))、入复苏室时(T_(6))、出复苏室时(T_(7))的体温及T_(0)、T_(1)、T_(3)、T_(4)、T_(5)、T_(7)时皮质醇水平及气管导管拔除时间、术后复苏时间及寒颤、躁动发生情况。结果两组体温组间、交互比较差异有统计学意义(P<0.05),两组体温时间比较差异无统计学意义。组内比较:T_(4)~T_(6),对照组体温均低于T_(0)~T_(3),差异有统计学意义(P<0.05);其他不同时点体温两两比较差异无统计学意义。组间比较:T_(0)~T_(3),两组体温比较差异无统计学意义;T_(4)~T_(7),观察组体温均高于对照组,差异有统计学意义(P<0.05)。两组皮质醇水平组间、交互比较差异有统计学意义(P<0.05),两组皮质醇水平时间比较差异无统计学意义。组内比较:T_(3)~T_(5)、T_(7),对照组皮质醇水平均高于T_(0)~T_(2),观察组T_(5)皮质醇水平低于T_(0)、T_(1),T_(7)时,观察组皮质醇水平低于T_(0)~T_(2),差异有统计学意义(P<0.05);其他时点两两比较差异无统计学意义。组间比较:T_(3)~T_(5)、T_(7),观察组皮质醇浓度均低于对照组,差异有统计学意义(P<0.05);其他时点两两比较差异无统计学意义。观察组气管导管拔除时间、术后复苏时间均短于对照组,差异有统计学意义(P<0.05)。观察组寒颤发生率低于对照组,差异有统计学意义(P<0.05),两组躁动发生率比较差异无统计学意义。结论围手术期体温保护不仅有利�Objective To investigate the application effect of temperature protection on perioperative period of laparoscopic myomectomy.Methods 100 patients who underwent laparoscopic myomectomy in our hospital from March to December 2020 were selected as the study subjects,and they were divided into the control group and the observation group according to random number table method,with 50 cases in each group.Both groups entered the preoperative zone(T0)and were given body temperature protection after the ear temperature gun temperature was measured.The control group was given conventional whole-body quilt insulation,and the observation group was covered with inflatable warming blanket under the quilt insulation.The body temperature at the time of entry(T_(1)),induction of anesthesia(T_(2)),incision(T_(3))and the beginning of surgery1 h(T_(4))and at the end of surgery(T_(5)),entry to resuscitation room(T_(6)),exit from resuscitation room(T_(7)),cortisol levels at T0,T_(1),T_(3),T_(4),T_(5),T_(7),tracheal catheter removal time,postoperative recovery time,and the occurrence of shivering and agitation were compared between the two groups.Results There were statistically significant differences in body temperature between the two groups of group and interaction(P<0.05),but there was no statistically significant difference in body temperature between the two groups of time points.Comparison within the group:T_(4)-T_(6),the body temperature in control group were lower than those of T0-T_(3),the difference was statistically significant(P<0.05);there was no significant difference in pairwise comparison at other times.Comparsion between groups:T0-T_(3),there was no significant difference in body temperature between the two groups;T_(4)-T_(7),the body temperature in the observation group were higher than those in control group,the differences were statistically significant(P<0.05).There were statistically significant differences in cortisol level between the two groups of group and interaction(P<0.05),but there was no statistically

关 键 词：体温保护 腹腔镜子宫肌瘤剔除术 应激水平 

分 类 号：R737.33[医药卫生—肿瘤]