艾慈灸穴位贴敷干预腹腔镜肝切除术中低体温的临床研究  

A clinical study on the intervention hypothermia during laparoscopic liver resection with Ai Ci Moxibustion Acupoint application

作　　者：高园艳 李珍 GAO Yuan-yan;LI Zhen(The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一附属医院,江西赣州341000

出　　处：《赣南医学院学报》2024年第8期817-820,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省中医药管理局科技计划项目(2023B0566)。

摘　　要：目的:探讨艾慈灸穴位贴敷干预腹腔镜肝切除术中低体温的临床效果。方法:选取2023年1月-12月我院收治的100例腹腔镜肝切除术患者,按随机数字表法分为2组,各50例。对照组予以常规保温措施干预,观察组加用艾慈灸穴位贴敷干预。比较2组体温变化、手术情况和不良事件。结果:观察组术中30、60、90 min、术毕时体温为(36.51±0.38)℃、(36.35±0.34)℃、(36.22±0.32)℃、(36.39±0.42)℃,高于对照组(36.25±0.33)℃、(36.12±0.31)℃、(36.05±0.29)℃、(36.11±0.35)℃,差异有统计学意义(P<0.05);观察组术中输血量、输入胶体液量、输入晶体液量为(153.25±14.36)mL、(526.35±50.41)mL、(1252.14±123.54)mL,少于对照组(189.65±16.52)mL、(712.04±58.96)mL、(1405.36±128.96)mL;观察组苏醒时间为(8.89±1.12)min,短于对照组(12.04±1.23)min,差异有统计学意义(P<0.05);观察组术中低体温、苏醒期躁动、寒战发生率低于对照组,差异有统计学意义(P<0.05)。结论:艾慈灸穴位贴敷可稳定腹腔镜肝切除术患者术中体温变化,减少术中低体温发生,缩短术后苏醒时间,降低苏醒期躁动、寒战发生风险。Objective:To explore the clinical effect of Ai Ci Moxibustion Acupoint application on intervening in hypothermia during laparoscopic liver resection.Methods:A total of 100 patients who underwent laparoscopic liver resection in our hospital from January 2023 to December 2023 were selected and randomly divided into two groups,each with 50 cases,using a random number table method.The control group was intervened with routine insulation measures,while the observation group was intervened with Ai Ci Moxibustion Acupoint application on the basis of the routine.Temperature changes,surgical conditions,and adverse events were compared between the two groups.Results:The body temperature of the observation group at 30 minutes,60 minutes,90 minutes,and after surgery were(36.51±0.38)℃,(36.35±0.34)℃,(36.22±0.32)℃,and(36.39±0.42)℃,which were higher than those of the control group(36.25±0.33)℃,(36.12±0.31)℃,(36.05±0.29)℃,and(36.11±0.35)℃,with statistical significance(P<0.05).The intraoperative blood transfusion volume,colloid fluid volume,and crystal fluid volume in the observation group were(153.25±14.36)mL,(526.35±50.41)mL,and(1252.14±123.54)mL,which were lower than those of the control group[(189.65±16.52)mL,(712.04±58.96)mL,and(1405.36±128.96)mL,respectively].The awakening time was(8.89±1.12)min,which was shorter than that of the control group(12.04±1.23)min,with statistical significance(P<0.05).The incidence of intraoperative hypothermia,restlessness during recovery,and chills in the observation group was lower than those of the control group,with statistical significance(P<0.05).Conclusion:Ai Ci Moxibustion Acupoint application can stabilize intraoperative temperature changes in patients undergoing laparoscopic liver resection,reduce intraoperative hypothermia,shorten postoperative recovery time,and reduce the risk of restlessness and chills during recovery.

关 键 词：肝切除术 腹腔镜 艾慈灸 穴位贴敷疗法 低体温 体温变化 

分 类 号：R473.6[医药卫生—护理学]