肾镜取石术中冲洗液温度对患者体温影响的研究

The influence of the rinsing liquid temperture upon the body temperatures of the patients undertaking percutaneous nephrostolithotomy

目的了解经皮肾镜取石术中冲洗液温度对病人体温的影响。方法选择200例经皮肾镜取石术患者，随机分为两组，每组100例，A组冲洗液用预热的方法加温37℃±1℃，B组冲洗液液温为24℃±1℃。使用冲冼液过程中记录患者肛温和腋温，并观察术中与低温有关的不良反应，如怕冷、寒战等。结果A组在手术60min、90min、120min、150min和术毕与B组相比，A组肛温和腋温与基础体温值相比（P〉0．05）无统计学意义；B组肛温和腋温与基础体温值相比明显降低（P〈0．05）有显著性差异。A组怕冷10例，寒战6例；B组怕冷42例，寒战26例，2组不良反应发生率比较，有显著性差异（P〈0．05）。结论在经皮肾镜取石术给予加温的冲洗液可以避免术中的患者体温过低，防止因体温过低引起的不良反应的发生。

Objective To investigate the impact of the rinsing liquid temperture upon the body temperatures of the patients undertaking percutaneous nephrostolitbotomy. Methods A total of 200 piatients undertaking percutaneous nephrostolithotomy were divided into A and B groups both randomly and equally. In A group rinsing liquid was warmed to 37℃±1℃ , while the liquid temperature in B group was 24℃± 1 ℃. During the process of using rinsing liquid in the operation, both anal and axillary temperatures such as fear of cold and chilling related to low temperature were observed. Results Compared with those of B group, the differences between both anal and axillary tempera- tures and basil body temperature had nostatistical significance 60 s , 90 s , 120 s, 150 s after the begining of operation respectively as well as at the end of the operation （ P 〉 0. 05 ） . In the B group, both anal and axillary temperatures were lower than those of the basic body temperature with statistical signficance （P 〈 0. 05 ） . 10 cases of fear of cold and 6 cases of chilling were observed in A group compared with 42 cases of fear of cold and 26 cases of chilling in B group. The differences of adverse effects between the two groups were significant （ P 〈 0. 05 ） . Conclusions .Warmed rinsing liquid used in percutaneous nephrostolithotomy could prevent low body temperature upon the patients involved which could minimized the adverse effects caused by the low body temperature.