充气式保温毯对胃癌急诊腹腔镜手术患者体温及术后恢复的影响  

Effect of inflatable insulation blanket on temperature and postoperative recovery of gastric cancer patients undergoing emergency laparoscopic surgery

作　　者：刘富齐 李西娟[1] 尹慧珍[1] LIU Fuqi;LI Xijuan;YIN Huizhen(Department of Emergency Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He'nan,China)

机构地区：[1]郑州大学第一附属医院急诊医学科,郑州450000

出　　处：《癌症进展》2024年第21期2334-2336,2375,共4页Oncology Progress

摘　　要：目的 探讨充气式保温毯对胃癌急诊腹腔镜手术患者体温及术后恢复的影响。方法 将60例胃癌急诊腹腔镜手术患者按照术中体温干预方式的不同分为对照组(n=27)和观察组(n=33),对照组患者给予常规体温干预,观察组患者在对照组的基础上给予充气式保温毯。比较两组患者的体温、围手术期相关指标及术后恢复情况[40项恢复质量评分量表(QoR-40)]。结果 术中30、60 min及手术结束时,两组患者体温均低于本组术前,观察组患者体温均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者麻醉苏醒时间、拔管时间以及恢复室停留时间均短于对照组,术中低体温、苏醒期寒战、苏醒期躁动的患者比例均低于对照组,差异均有统计学意义(P﹤0.05)。术后1天,两组患者QoR-40各维度评分及总分均低于本组术前1天,观察组患者QoR-40各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。结论 充气式保温毯能够有效维持胃癌急诊腹腔镜手术患者术中体温平稳,减少应激反应,缩短麻醉苏醒时间,促进患者术后恢复。Objective To investigate the effect of inflatable insulation blanket on temperature and postoperative recovery of gastric cancer patients undergoing emergency laparoscopic surgery.Method A total of 60 gastric cancer patients who underwent emergency laparoscopic surgery were divided into control group(n=27)and observation group(n=33)according to different body temperature intervention methods during surgery.Patients in the control group received routine body temperature intervention,and patients in the observation group received inflatable insulation blanket on the basis of the control group.The body temperature,perioperative related indicators and postoperative recovery[quality of recovery-40 questionnaire(QoR-40)]were compared between the two groups.Result At 30,60 min during operation and at the end of operation,the body temperatures in two groups were lower than those before operation,and the body temperatures in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The anesthesia recovery time,extubation time and recovery room stay time of the observation group were shorter than those of the control group,and the proportion of patients with intraoperative low body temperature,shivering during the recovery period and agitation during the recovery period were lower than those of the control group,the differences were statistically significant(P<0.05).One day after surgery,the dimensional scores and total scores of QoR-40 in both groups were lower than those before surgery,the dimensional scores and total score of QoR-40 in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion Inflatable insulation blanket can effectively maintain stable intraoperative body temperature of gastric cancer patients undergoing emergency laparoscopic surgery,reduce stress reactions,shorten anesthesia recovery time,and promote the postoperative recovery of patients.

关 键 词：胃癌 充气式保温毯 腹腔镜手术 体温 术后恢复 

分 类 号：R735.2[医药卫生—肿瘤]