术中体位改进联合多模式体温干预在乳腺癌根治术患者中的应用效果  

Effect of Intraoperative Body Position Improvement Combined With Multimodal Body Temperature Intervention in Patients Undergoing Radical Mastectomy

作　　者：陈爽 李婕[1] 石少美 CHEN Shuang;LI Jie;SHI Shaomei(Operation Room,Department of Anesthesiology,the Seventh Affiliated Hospital of Southern Medical University,Foshan Guangdong 528244,China)

机构地区：[1]南方医科大学第七附属医院麻醉科手术室,广东佛山528244

出　　处：《中国卫生标准管理》2024年第3期178-181,共4页China Health Standard Management

摘　　要：目的分析针对乳腺癌根治术患者实施术中体位改进联合多模式体温干预的效果。方法选取2022年1月—2023年2月南方医科大学第七附属医院治疗的78例乳腺根治术患者,随机分为参照组与试验组,各39例。参照组采取术中体温干预,试验组采取术中体位改进联合多模式体温干预。对比2组术前(T0)、插管前(T1)、插管后0.5 h(T2)、完成手术时(T3)、麻醉苏醒5 min(T4)等时间点的体温情况;分别在T0、T2、T4等时间点检测并比较2组患者的心率、呼吸频率;对比2组手术指标,包括手术总时长、手术过程中总出血量、手术后苏醒时间、术后拔管时间等;统计并比较2组并发症发生率。结果在T0、T1、T2、T3、T4等时间点,试验组的体温水平均高于参照组,差异有统计学意义(P<0.05);试验组患者在T0、T2、T4等时间点的心率、呼吸频率等应激反应指标水平均优于参照组,差异有统计学意义(P<0.05);试验组的并发症发生率为2.56%,明显低于参照组的17.95%,差异有统计学意义(P<0.05)。结论乳腺癌根治术中对患者实施体位改变,进行多种模式的体温处理,可有效稳定患者机体体温与应激指标,降低低体温及其他相关并发症发生,确保手术顺利开展。Objective To analyze the effect of intraoperative body position improvement combined with multi-mode body temperature intervention for patients undergoing radical mastectomy.Methods A total of 78 patients with radical mastectomy treated in the Seventh Affiliated Hospital of Southern Medical University from January 2022 to February 2023 were randomly divided into the reference group and the experimental group,with 39 cases in each group.The reference group received intraoperative body temperature intervention,and the experimental group received intraoperative body position improvement combined with multimode body temperature intervention.The temperature of the two groups were compared before surgery(T0),before intubation(T1),0.5 h after intubation(T2),after surgery(T3),5 min after anesthesia(T4)and other time points.The heart rate and respiratory rate of the two groups were detected and compared at T0,T2,T4 and other time points respectively.The surgical criteria of the two groups were compared,including the total duration of surgery,the total amount of blood loss during surgery,the time of recovery after surgery,and the time of extubation after surgery.The incidence of complications between the two groups was analyzed and compared.Results At T0,T1,T2,T3,T4 and other time points,the average body warm water in test group was higher than that in reference group,and the difference was statistically significant(P<0.05).The stress response indexes such as heart rate and respiratory rate of test group were better than those of reference group at T0,T2 and T4,with statistical significance(P<0.05).The complication rate of test group was 2.56%,which was significantly lower than that of reference group 17.95%,with statistical significance(P<0.05).Conclusion For radical mastectomy,in the process of this kind of surgery,the body position change of the patient's body and the temperature treatment of various modes can effectively stabilize the body temperature and stress indexes of the patient,reduce the occurrence of hypotherm

关 键 词：乳腺癌根治术 术中体位改进 多模式体温干预 体温变化 应激反应 手术情况 

分 类 号：R737[医药卫生—肿瘤]