腹腔镜患者术中低体温的危险因素分析  

Risk factors of intraoperative hypothermia in laparoscopic patients and its correlation with immunity and coagulation

作　　者：孙芳芳 杨慧娟[1] SUN Fangfang;YANG Huijuan(Department of Operating room,Jiyuan Cancer Hospital,Jiyuan Henan 459000,China)

机构地区：[1]济源市肿瘤医院手术室,河南济源459000

出　　处：《新疆医学》2024年第9期1092-1095,1111,共5页Xinjiang Medical Journal

摘　　要：目的探讨腹腔镜手术患者术中低体温的危险因素及其与患者免疫功能、凝血功能和感染发生的相关性。方法选择2019年10月至2022年于院内行腹腔镜手术的120例患者作为研究对象。结果多因素结果得出,腹腔镜手术患者术中低体温的危险因素在于体质量指数、基础体温、手术类型、麻醉时间、手术时间、手术室温度;相较于手术前、非低体温组,术后、低体温组两组患者PT、APTT、TT均延长,术后补体C3、C4水平均下降,感染发生率升高;PT、APTT、TT与补体C3、补体C4均呈负相关关系(P<0.05)。结论体质量指数、基础体温、手术类型、麻醉时间、手术时间、手术室温度是腹腔镜手术患者术中低体温的危险因素,随着患者体温的下降,凝血功能指标与免疫功能指标之间呈负相关关系。Objective To investigate the risk factors of intraoperative hypothermia in patients undergoing laparoscopic surgery and its correlation with immune function,coagulation function and infection.Methods 120 patients who underwent laparoscopic surgery in hospital from October 2019 to 2022 were selected as the study objects.Results Multi-factor results showed that the risk factors of hypothermia in laparoscopic patients were body mass index,basal body temperature,operation type,anesthesia time,operation time and operating room temperature.Compared with pre-operation and non-hypothermia group,PT,APTT and TT were prolonged in both postoperative and hypothermia groups,and the levels of C3 and C4 were decreased after surgery,and the incidence of infection was increased.PT,APTT and TT were negatively correlated with complement C3 and C4(P<0.05).Conclusion Body mass index,basal body temperature,operation type,anesthesia time,operation time and operating room temperature are the risk factors for hypothermia in laparoscopic surgery.With the decrease of body temperature,coagulation function index and immune function index are negatively correlated.

关 键 词：腹腔镜手术 术中低体温 危险因素 免疫功能 凝血功能 感染 

分 类 号：R473.6[医药卫生—护理学]