实用肝脏病杂志Issue(4)：384-387,4.DOI:10.3969/j.issn.1672-5069.2014.04.013
综合保温措施在肝癌手术患者快速康复外科中的应用
Application of comprehensive insulation measures under fast-track surgery in patients with hepatocellu-lar carcinoma
摘要
Abstract
Objective To observe the effects of comprehensive insulation measures on changes of tempera-ture in patients with hepatocellular carcinoma (HCC) underwent hepatectomy and on postoperative recovery. Methods Sixty patients with HCC were randomly divided into control and observation group. 30 cases in control group were given regular insulation measures,while the other 30 cases in observation were treated with comprehen-sive insulation measures when they underwent hepatectomy. The temperature variation,emergence agitation and shiver,the incidence of postoperative complications such as cough and fever,the leaving bed time and average hospitalization days were compared between the two groups. Results The temperatures of patients in observation group after liver parenchyma transaction and during recovery period were(36.0±0.43)℃ and (36.1±0.37)℃,respec-tively,while they were (35.7±0.33)℃ and (35.8±0.20)℃ in control group,and the incidence of hypothermia during operation in observation group was significantly lower than that in the control group (P﹤0.01). The incidences of shiver and emergence agitation during recovery period were 10.0% and 13.3%,respectively in observation group, while they were 40.0% and 36.7%,respectively in control group. Incidence of postoperative cough and fever were 13.3% and 10.0%, respectively in observation group, while they were 36.7% and 33.3%,respectively in control group (P﹤0.05).The first leaving bed time was(26.8±3.57)hours in observation group,while it was (41.2±4.44) hours in control group(P﹤0.05). The mean hospital stay was(8.1±1.79)d in observation group,while it was (10.2± 1.59)d in control group (P﹤0.05). Conclusions Comprehensive insulation measures can effectively maintain rela-tively normal body temperature in patients with HCC during hepatectomy. It can also reduce the incidence of e-mergence agitation and shiver,as well as the occurrence of postoperative complications. Furthermore, comprehen-sive insulation measures play an active role in fast-track surgery (FTS) of patients with HCC.关键词
肝癌/综合保温/快速康复外科Key words
Hepatocellular carcinoma/Comprehensive insulation measures/Fast-track surgery引用本文复制引用
陈荣珠,王桂红,荚卫东,宇静,杜李兵..综合保温措施在肝癌手术患者快速康复外科中的应用[J].实用肝脏病杂志,2014,(4):384-387,4.基金项目
安徽省科技攻关资助项目 （）
