中国中医骨伤科杂志2026，Vol.34Issue(6)：77-82,6.DOI:10.20085/j.cnki.issn1005-0205.260611
恒温冲洗液在单侧双通道脊柱内镜术中的应用疗效
The Influence of Constant-Temperature Irrigation Fluid on Patients Undergoing Unilateral Biportal Endoscopic Surgery
摘要
Abstract
Objective:To explore the effect of 37℃ constant-temperature irrigation fluid on core body temperature and lo-cal inflammatory mediators in patients undergoing unilateral biportal endoscopic surgery(UBE).Methods:Sixty patients who underwent UBE surgery from June 2024 to August 2025 were randomly divided into control group and observation group.Both groups were operated on by the same experienced chief physician.The observation group was irrigated with normal saline maintained at 37℃,while the control group was irrigated with normal saline at room temperature(25℃).The efficacy was evaluated by monitoring the intraoperative core body temperature,VAS scores at 12 h,l week,and 3 weeks postoperatively,and the levels of inflammatory factors TNF-α and IL-6 in the drainage fluid.Results:At 60 min of the operation,the core body temperature of the patients in the control group significantly decreased to(35.5±0.3)℃,with a hypothermia incidence rate of 86.67％(26/30);the body temperature of the observation group was(36.2±0.4)℃,and the hypothermia incidence rate was 36.67％(11/30).The differences between the two groups were statisti-cally significant(P＜0.05).One week and three weeks after the operation,the VAS scores of the observation group were significantly lower than those of the control group(P＜0.05).There was no statistical difference in VAS scores between the two groups 12 h after the operation(P＞0.05).At 3 h and 6 h after the operation,the levels of TNF-α and IL-6 in the drainage fluid of the observation group were significantly lower than those of the control group(P＜0.05).Conclus-ion:The use of 37℃ constant temperature irrigation fluid during UBE can effectively maintain the stability of core body temperature during the perioperative period,reduce the incidence of hypothermia,and alleviate local inflammatory responses,which is helpful to relieve postoperative pain.关键词
腰椎间盘突出症/单侧双通道脊柱内镜术/术中低体温/炎症反应/恒温冲洗液Key words
lumbar disc herniation/unilateral biportal endoscopic spine surgery/intraoperative hypothermia/local inflam-matory factors/constant-temperature irrigation fluid分类
医药卫生引用本文复制引用
李文庆,高萌,杨辉宝,张林林,于其华,陈小龙..恒温冲洗液在单侧双通道脊柱内镜术中的应用疗效[J].中国中医骨伤科杂志,2026,34(6):77-82,6.基金项目
安徽省中医药传承创新科研项目(2024CCCX174) （2024CCCX174）
