腹腔镜直肠癌切除患者术中低体温相关因素分析及预后  

Analysis of the related factors and prognosis of intraoperative hypothermia in patients with laparoscopic resection of rectal cancer

作　　者：李岚哲 翟永华[1] 李丽[1] Li Lanzhe;Zhai Yonghua;Li Li(Qilu Hospital of Shandong University,Jinan Shandong 250014,China)

机构地区：[1]山东大学齐鲁医院,山东济南250014

出　　处：《齐鲁护理杂志》2024年第18期13-15,共3页Journal of Qilu Nursing

摘　　要：目的:探讨腹腔镜直肠癌切除患者术中低体温发生的相关因素及预后情况。方法:选取2022年6月1日~2023年12月31日收治的150例直肠癌患者作为研究对象,所有患者均行腹腔镜直肠癌切除术治疗,根据患者是否发生术中低体温分为正常组和低温组各75例;观察两组基本临床资料,分析术中发生低体温的危险因素,比较其预后情况。结果:单因素分析显示,年龄、体质量指数(BMI)、病程周期、室间温度、总输液量、手术时间、出血量、冲洗量与腹腔镜直肠癌切除患者术中低体温发生有关(P<0.05,P<0.01);多因素分析显示,年龄≥65岁、BMI<24、病程周期≥6个月、室间温度<23℃、总输液量≥1500 ml、手术时间≥2 h、出血量≥200 ml、冲洗量≥1000 ml是腹腔镜直肠癌切除患者术中低体温的独立危险因素(P<0.05,P<0.01);低温组的并发症发生率高于正常组(P<0.05),胃肠功能恢复时间、住院时间长于正常组(P<0.01)。结论:年龄≥65岁、BMI<24、病程周期≥6个月、室间温度<23℃、总输液量≥1500 ml、手术时间≥2 h、出血量≥200 ml、冲洗量≥1000 ml是腹腔镜直肠癌切除患者术中低体温的独立危险因素,且对患者的预后产生不利的影响,临床应加强重点人群术中体温的监测,并针对性予以干预措施,提升患者的预后。Objective:To investigate the related factors and prognosis of intraoperative hypothermia in patients undergoing laparoscopic resection for rectal cancer.Methods:A total of 150 patients with rectal cancer who were admitted from June 1,2022 to December 31,2023 were selected as the research objects.All patients underwent laparoscopic rectal cancer resection,and they were divided into normal group and hypothermia group according to the occurrence of intraoperative hypothermia.The basic clinical data of the two groups were observed,the risk factors of intraoperative hypothermia were analyzed,and the prognosis was compared.Results:Univariate analysis showed that age,body mass index(BMI),duration of illness,external temperature,total infusion volume,operation time,blood loss and irrigation volume were related to the occurrence of intraoperative hypothermia in patients undergoing laparoscopic resection of rectal cancer(P<0.05,P<0.01).Multivariate analysis showed that age≥65 years,BMI<24,course of disease≥6 months,external temperature<23℃,total infusion volume≥1500 ml,operation time≥2 h,blood loss≥200 ml,and irrigation volume≥1000 ml were independent risk factors for intraoperative hypothermia(P<0.05;P<0.01).The incidence of complications in hypothermia group was higher than that in normal group(P<0.05),and the recovery time of gastrointestinal function and length of hospital stay in hypothermia group were longer than those in normal group(P<0.01).Conclusion:Age≥65 years,BMI<24,course of disease≥6 months,external temperature<23℃,total infusion volume≥1500 ml,operation time≥2 h,blood loss≥200 ml,and irrigation volume≥1000 ml are independent risk factors for intraoperative hypothermia,which have adverse effects on the prognosis of patients.It is necessary to strengthen the intraoperative temperature monitoring of key groups and provide targeted intervention measures to improve the prognosis of patients.

关 键 词：腹腔镜直肠癌切除 术中低体温 危险因素 预后 

分 类 号：R473.73[医药卫生—护理学]