腹腔镜结直肠癌根治术患者麻醉复苏期低体温发生现状分析  

Analysis of the Incidence of Hypothermia in Patients Undergoing Laparoscopic Colorectal Cancer Radical Resection During Anesthesia Recovery

作　　者：崔苏敏 张伟英[3] 杨芳芳 蔡梦怡 顾娟[1] 张红芹[1] CUI Sumin;ZHANG Weiying;YANG Fangfang;CAI Mengyi;GU Juan;ZHANG Hongqin(Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127;Tongji University School of Medicine,Shanghai 200092;Shanghai East Hospital Affiliated to Tongji University,Shanghai 200120)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127 [2]同济大学医学院,上海200092 [3]同济大学附属东方医院,上海200120

出　　处：《上海护理》2024年第2期23-27,共5页Shanghai Nursing

基　　金：上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04);上海市浦东新区卫生系统领先人才培养计划(PWRl2020-10);上海市东方医院人才计划(DFRC2017017)。

摘　　要：目的探讨腹腔镜结直肠癌根治术患者麻醉复苏期低体温的发生率及其危险因素。方法采用便利抽样法,选择2022年9月至2023年2月于上海某三级甲等医院行腹腔镜结直肠癌根治术的270例患者为研究对象,收集患者一般资料及手术信息,采用单因素及多因素logistic回归分析麻醉复苏期低体温的危险因素。结果270例患者中,有84例在麻醉复苏期间发生了低体温,发生率为31.1%。logistic回归分析显示,高龄、术前长时间禁食、术中大量补液、长时间麻醉是腹腔镜结直肠癌根治术患者在麻醉复苏期发生低体温的独立危险因素,而高体质指数和高基础体温是其保护因素。结论腹腔镜结直肠癌根治术后患者麻醉复苏期低体温发生率较高,临床医务人员应给予重视,尽早识别高危患者,并针对低体温的危险因素采取相应的预防及应对措施,以促进患者术后康复。Objective To explore the incidence and risk factors associated with hypothermia in patients undergoing laparoscopic colorectal cancer radical resection during anesthesia recovery.Methods A total of 270 patients were selected by convenience sampling who underwent laparoscopic colorectal cancer radical resection in a GradeⅢ-A hospital in Shanghai from September 2022 to February 2023.General information and surgical information were collected from the patients and analyzed for risk factors associated with hypothermia during anesthesia recovery by univariate and multivariate logistic regression.Results Among the 270 patients,84(31.1%)experienced hypothermia during anesthesia recovery.Logistic regression analysis revealed several independent risk factors for hypothermia in patients undergoing laparoscopic colorectal cancer radical resection during anesthesia recovery:1)advanced age,2)prolonged preoperative fasting,3)excessive intraoperative fluid replacement,and 4)prolonged anesthesia;the analysis also identified protective factors:1)high body mass index,and 2)high basal body temperature.Conclusion The incidence of hypothermia is high in patients undergoing laparoscopic colorectal cancer radical resection during anesthesia recovery.Clinical healthcare providers should remain vigilant,identify high-risk patients as early as possible,and take corresponding prevention and response measures targeting the risk factors associated with hypothermia to accelerate patients'postoperative rehabilitation.

关 键 词：腹腔镜 结直肠肿瘤 麻醉恢复期 低体温 危险因素 

分 类 号：R473.73[医药卫生—护理学]