复合保温干预方案对腹腔镜全子宫切除手术患者血流动力学及术后恢复的影响  

Influence of the intervention of the compound body temperature maintenance for patients with total laparoscopic hysterectomy on their hemodynamics and postoperative recovery

作　　者：赵晴 陈菊 周杰 罗红 张露 张冬梅 陈欣 ZHAO Qing;CHEN Ju;ZHOU Jie;LUO Hong;ZHANG Lu;ZHANG Dongmei;CHEN Xin(363 Hospital of Chengdu,Southwest Medical University,Chengdu,Sichuan Province,610041)

机构地区：[1]西南医科大学附属成都三六三医院,610041

出　　处：《中国计划生育学杂志》2025年第1期95-99,共5页Chinese Journal of Family Planning

基　　金：四川省卫生和计划生育委员会科研课题(18PJ182)。

摘　　要：目的:探讨行腹腔镜全子宫切除手术(TLH)患者术中应用复合保温干预的临床效果。方法:选取2021年10月-2023年10月本院诊治并拟行TLH患者160例,随机数字分组分为两组各80例,术中两组均采取常规保温干预,复合组同时采取复合保温干预,对比两组术中血流动力学指标平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2)),体温、苏醒质量以及不良反应。结果:入手术室时两组MAP、HR、SpO_(2)无差异(P>0.05);麻醉30min、麻醉60min、手术结束时两组MAP、HR、SpO_(2)均高于入手术室时且复合组均高于对照组,体温(36.95±0.54℃、36.86±0.67℃、36.91±0.76℃)高于对照组(36.14±0.55℃、35.86±0.71℃、35.55±0.67℃),苏醒时间(18.32±5.45min)、拔管时间(24.46±6.24min)、自主呼吸恢复时间(22.46±6.14min)少于对照组(18.32±5.45min、31.55±7.19min、28.69±5.91min),术后不良反应发生率(12.5%)低于对照组(35.0%)(均P<0.05)。结论:TLH术中复合保温干预方案保温效果显著,能减小患者术中血流动力学波动、提高苏醒质量、降低术中不良反应。Objective:To explore the clinical effect of the intervention of the compound body temperature maintenance for patients with total laparoscopic hysterectomy(TLH).Methods:160 patients who wanted TLH in the hospital were selected and were divided into two groups(80 cases in each group)according to the random number standard from October 2021 to October 2023.During surgery,the patients in the two groups were given the routine intervention of the body temperature maintenance,while the patients in the study group were given the intervention of the compound body temperature maintenance additionally.The values of the intraoperative hemodynamic indexes,such as the mean arterial pressure(MAP),heart rate(HR)and blood oxygen saturation(SpO_(2)),the body temperature,the recovery quality and the adverse reactions rate of the patients were compared between the two groups.Results:There were no significant differences in the values of the MAP,HR and SpO_(2) of the patients at the entering operating room between the two groups(P>0.05).The values of the MAP,HR and SpO_(2) of the patients in the two groups at 30 min and at 60 min after anesthesia and at the end of the operation were significantly higher than those at the entering the operating room,and which of the patients in the study group were significantly higher than those of the patients in the control group.The values of the body temperature of the patients in the study group at 30 min and 60 min after anesthesia and at the end of operation were 36.95±0.54℃,36.86±0.67℃and 36.91±0.76℃,respectively,and which were significantly higher than those(36.14±0.55℃,35.86±0.71℃and 35.55±0.67℃)of the patients in the control group.The recovery time(18.32±5.45 min),the extubation time(24.46±6.24 min)and the spontaneous breathing recovery time(22.46±6.14 min)of the patients in the study group were significantly less than those(18.32±5.45 min,31.55±7.19 min and 28.69±5.91 min)of the patients in the control group.The incidence of the postoperative adverse reactions(12.

关 键 词：腹腔镜全子宫切除手术 复合保温干预方案 体温 血流动力学 术后苏醒质量 不良反应 

分 类 号：R47[医药卫生—护理学]