开腹手术与腹腔镜二氧化碳气腹对患者鼻咽温度的影响  

Effect of open surgery versus laparoscopic carbon dioxide pneumoperitoneum on nasopharyngeal temperature

作　　者：张志慧 韦金翠[1] 季萍[1] ZHANG Zhihui;WEI Jincui;JI Ping(Department of Anesthesiology and Surgery,Jiangsu Province Hospital,Jiangsu,Nanjing 210000,China)

机构地区：[1]江苏省人民医院麻醉手术科,南京市210000

出　　处：《河北医药》2024年第2期261-263,共3页Hebei Medical Journal

基　　金：国家自然科学基金资助项目(编号:82171759)。

摘　　要：目的探讨开腹手术与腹腔镜二氧化碳气腹对患者鼻咽温度的影响。方法选择收治的择期行腹部手术治疗的患者96例为研究对象,根据患者手术方式的不同分为开腹组和腹腔镜组,每组48例。比较2组鼻咽温度、苏醒时间、去甲肾上腺素和肾上腺素水平及躁动、寒颤和低体温发生率。结果手术开始时,2组鼻咽温度比较,差异无统计学意义(P>0.05);手术1、2 h和术毕时,开腹组鼻咽温度高于腹腔镜组(P<0.05)。开腹组苏醒时间短于腹腔镜组(P<0.05)。手术开始时,2组去甲肾上腺素和肾上腺素水平比较,差异无统计学意义(P>0.05);手术2 h和术毕时,开腹组去甲肾上腺素和肾上腺素水平低于腹腔镜组(P<0.05)。开腹组躁动、寒颤和低体温发生率低于腹腔镜组(P<0.05)。结论相比于开腹手术,腹腔镜手术中的二氧化碳气腹更易导致患者出现低温现象。Objective To investigate the effect of open surgery versus laparoscopic carbon dioxide pneumoperitoneum on nasopharyngeal temperature.Methods A total of 96 patients who underwent an elective abdominal surgery in our hospital from January 2020 to June 2021 were included as the research objects.They were divided into the open surgery group and laparoscopy group according to different surgical methods,with 48 cases peRgroup.The nasopharyngeal temperature,recovery time,norepinephrine and epinephrine levels,and the incidence of agitation,shivering and hypothermia were compared between groups.Results At the beginning of the surgery,there was no significant difference in nasopharyngeal temperature between the two groups(P>0.05).The nasopharyngeal temperature in laparoscopy group was significantly higher at 1h,2h of surgery and at the end of the surgery than that of open surgery group(P<0.05).The recovery time of open surgery group was significantly shorter than that of laparoscopy group(P<0.05).At the beginning of the surgery,there were no significant differences in norepinephrine and epinephrine levels between groups(P>0.05),which,at 2h of surgery and at the end of the surgery,were significantly lower in the open surgery group than those of laparoscopy group(P<0.05).The incidences of agitation,shivering and hypothermia were significantly lower in the open surgery group than those of laparoscopy group(P<0.05).Conclusion Compared with open surgery,carbon dioxide pneumoperitoneum in laparoscopic surgery is more likely to lead to hypothermia.

关 键 词：腹腔镜 开腹手术 二氧化碳气腹 鼻咽温度 

分 类 号：R472.3[医药卫生—护理学]