采用保温措施预防前列腺电切术中低体温的体会

Effect of Integrated Measures on Preventing Intraoperative Hypothermia during TURP

目的:探讨预防经尿道前列腺电切术(transurethralresection or prostate,TURP)中低体温的措施。方法:将116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,即控制室内温湿度;实验组采用保暖措施,如包裹暴露部位、灌洗液加温、使用暖风机等。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15 min体温无显著性差异,而在麻醉后30min、60 min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： 116 patients were assigned to control group and experimental group randomly, the control group was treated with ordi-nary measures, including constant temperature and humidi- ty of operation room; the experimental group was added integrated measures, including cover the exposed parts, douche fluid heat- ing, using thermal insulation blanket. The data of various periods during operation were observed in the patients with body temper- ature changes and the incidence of hypothermia event. Results： There was no significant difference before anesthesia and 15 rain 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 hypother-mia in experiment group was 36.7% while the control group was 55.7%, the difference was significant. Conclusion： The incidence of hy-pothermia during TURP is high; the integrated measures should be taken to prevent this event.