液体加温箱联合集束化保温干预对良性前列腺增生症手术患者术中体温及术后麻醉复苏时间的影响OA
The Effect of Liquid Heating Box Combined with Bundle Insulation Intervention on Intraoperative Body Temperature and Postoperative Anesthesia Recovery Time in Patients Undergoing Benign Prostatic Hyperplasia Surgery
目的:探讨液体加温箱联合集束化保温干预对良性前列腺增生症手术患者术中体温及术后麻醉复苏时间的影响.方法:选取福建医科大学附属福州市第一总医院 2021 年 9 月—2023 年 9 月收治的 74 例行经尿道前列腺等离子电切术(PKRP)的良性前列腺增生症患者,随机分为两组,每组 37 例.对照组予以常规保温管理,观察组予以液体加温箱联合集束化保温干预.比较两组术前、术中 30 min及术后 60 min的体温及手术指标,手术并发症发生情况及术后麻醉复苏时间.结果:术前,两组体温值比较,差异无统计学意义(P>0.05);观察组在术中 30 min、手术完成时及术后 60 min的体温值均高于对照组,差异均有统计学意义(P<0.05).观察组的手术时间短于对照组,术中出血量、总输液量及冲洗液总量均少于对照组,差异均有统计学意义(P<0.05).观察组手术并发症发生率为 5.41%,低于对照组的 21.62%,差异有统计学意义(P<0.05).观察组术后麻醉复苏时间均短于对照组,差异均有统计学意义(P<0.05).结论:液体加温箱联合集束化保温干预能够维持行PKRP手术的良性前列腺增生症患者术中体温的稳定,改善其手术相关指标,预防其手术并发症发生,缩短其术后麻醉复苏时间.
Objective:To explore the effects of liquid heating box combined with bundle insulation intervention on intraoperative body temperature and postoperative anesthesia recovery time in patients undergoing surgery for benign prostatic hyperplasia.Method:A total of 74 patients with benign prostatic hyperplasia who underwent transurethral plasma kinetic resection of the prostate(PKRP)admitted to Fuzhou First General Hospital Affiliated with Fujian Medical University from September 2021 to September 2023 were randomly divided into two groups,with 37 cases in each group.The control group received routine insulation management,while the observation group received liquid heating box combined with bundled insulation intervention.The preoperative,intraoperative 30 min,and postoperative 60 min body temperature and surgical indicators,the incidence of surgical complications and postoperative anesthesia recovery time in two groups were compared.Result:Before surgery,there was no statistically significant difference in body temperature value between the two groups(P>0.05);the body temperature values of the observation group were higher than those of the control group at 30 minutes during surgery,at the completion of surgery,and 60 minutes after surgery,the differences were statistically significant(P<0.05).The surgical time in the observation group was shorter than that in the control group,intraoperative bleeding,total infusion volume and total amount of flushing fluid were less compared to the control group,the differences were statistically significant(P<0.05).The incidence of surgical complications in the observation group was 5.41%,which was lower than 21.62% in the control group,the difference was statistically significant(P<0.05).The postoperative anesthesia recovery time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The combination of liquid heating box and bundle insulation intervention can maintain the stability of intraoperative body temperature in patients with benign prostatic hyperplasia undergoing PKRP surgery,improve their surgical related indicators,prevent surgical complications,and shorten their postoperative anesthesia recovery time.
陈天真
福建医科大学附属福州市第一总医院手术室 福建 福州 350009
液体加温箱集束化保温良性前列腺增生症体温麻醉复苏
Liquid heating boxBundled insulationBenign prostatic hyperplasiaBody temperatureAnesthetic resuscitation
《中国医学创新》 2024 (019)
94-98 / 5
评论