综合性保温措施预防前列腺电切术中低体温作用

Effect of integrated measures on preventing intraoperative hypothermia during TURP

目的:探讨综合性保温措施对于降低经尿道前列腺电切术(transurethral resection or prostate,TURP)中低体温发生率的作用。方法:将138例TURP患者随机分为对照组和实验组,前者采用常规保温措施,即保持恒定的室内温度和湿度;实验组加用覆盖暴露部位、冲洗液加温、使用保温毯这些综合性措施。观察两组患者手术各时段体温变化及低体温的发生率。结果:两组在麻醉诱导前、麻醉后15min体温无显著性差异,而在麻醉后30min、60min及术毕体温有显著性差异,实验组体温高于对照组;实验组低体温发生率为36.7%,对照组为55.7%,实验组低于对照组,差异具有显著性。结论:TURP中患者低体温的发生率较高,应采用综合性保温措施,减少低体温的发生。

Objective：To observe the effect of integrated measures to decrease.The incidence of intraoperative hypothermia during TURP. Methods： 140 patients were assigned to control group and experimental group randomly,the control group was treated with ordinary measures, including constant temperature and humidity of operation room, the experimental group was added integrated measures, including cover the exposed parts, douche fluid heating, using thermal insulation blanket. The data of various periods during operation were observed in the patients with body temperature changes and the incidence of hypothermia event. Results：There was no significant difference before anesthesia and 15 min after inducing of anesthesia between two groups; but there was significant difference on 30min and 60min after anesthesia, the average temperature of experiment group was higher than that of control group.The incidence of hypothermia in experiment group was 36.7% while the control group was 55.7% ,the difference was significant.Conclusion：The incidence of hypothermia during TURP is high; the integrated measures should be taken to prevent this event.