术中保温对恶性梗阻性黄疸患者围术期并发症的影响

Effect of intraoperative warm-keeping on perioperative complications of the patients with malignant obstructive jaundice

目的:探讨术中保温对恶性梗阻性黄疸患者围术期并发症的影响。方法:将64例恶性梗阻性黄疸患者随机分为实验组与对照组各32例,实验组术中采取保温措施,对照组按常规处理。分别观察手术开始、手术1 h、术毕时的鼻咽温值,手术、拔管、清醒时间,尿量、24h腹腔引流量等指标。结果:对照组手术1h、术毕体温与术前、实验组比较差异均有统计学意义(P<0.05),术毕血压、心率与实验组比较差异均有统计学意义(P<0.05);两组在清醒时间、术中尿量、24h腹腔引流量方面比较差异均有统计学意义(P<0.05)。结论:对恶性梗阻性黄疸患者术中保温可有效减少术后并发症的发生。

Objective： To explore the effect of intraoperative warm-keeping on perioperative complications of the patients with malignant obstructive jaundice.Methods： 64 patients with malignant obstructive jaundice were randomly divided into experimental group and control group（32 cases for each group）.The warm-keeping measures were taken in the experimental group and routine measures were taken in the control group.The observation was made respectively on the nasopharyngeal temperature value at the beginning of surgery,one hour in the operation and at the end of operation,and the time of operation,extubation,regain of consciousness,and the amount of urine,drainage volume within 24 hours and other indicators.Results： There was significant difference in the comparison of body temperature one hour in the operation and at the end of operation in the control group with that in the experimental group and before operation（P〈 0.05）;the differences of blood pressure and heart rate at the end of operation were statistically significant compared with those in the experimental group（P 〈0.05）;the statistically significant differences were also found in the comparison of the time of regain of consciousness,amount of urine in the operation and drainage volume within 24 hours between the two groups（P 〈0.05）.Conclusion： Intraoperative warm-keeping can effectively reduce the incidence of postoperative complications of the patients with malignant obstructive jaundice.