不同温度甘露醇对宫腔镜电切术中患者体温的影响分析

The Effect of Mannitol at Different Temperatures on Body Temperature in Patients Undergoing Hysteroscopic

目的 探讨不同温度甘露醇对宫腔镜电切术中患者体温的影响。方法 选择2016年1~6月在我院行宫腔镜电切术治疗的患者120例作为研究对象。按照随机分组原则,将患者分为观察组和对照组,观察组（60例）行宫腔镜电切术治疗过程中给予37℃的5%的甘露醇,对照组（60例）行宫腔镜电切术治疗过程中给予在室温24℃C下保存的5%的甘露醇。比较两组患者术中体温的变化。结果 两组患者术前体温比较,差异无统计学意义（P〉0.05）。手术后20 min以及手术结束时,观察组体温高于对照组,差并具有统计学意义（P〈0.05）;术中寒颤发生率低于对照组,差异具有统计学意义（P〈0.05）。结论 行宫腔镜电切术治疗的患者术中给予37℃C的5%的甘露醇可有效预防患者体温过低,减少寒颤的发生,患者术中的舒适度可显著提高。

Objective To investigate the effects of mannitot at different temperatures on the body temperature of patients undergoing hysteroscopic resection. Methods From January to June 2016, 120 cases of patienu underwent hysteroscopic resection in our hospital. According to the principle of random grouping, the patients were divided into observation group and control group, 60 patients in observation group, 5% mannitol at 37℃ and 60 patients in control group were treated with electrovaporization, and 5% mannitol was stored at 24 ℃ in the course of hysteroscopic resection. The changes of body temperature were compared between two groups. Results Compared with the body temperature of two groups, the difference was not statistically significant （P 〉 0.05 ） .Compared with the control group, the body temperature of the observation group was significantly higher than that of the control group（ P 〈 0.05 ）. The incidence of chills was lower than that of the control group at the end of 20min and at the end of the operation（ P 〈 0.05 ） . Conclusion 5% mannitol at 37℃ can effectively prevent hypothennia and reduce chills in patients undergoing hysteroscopic resection. The comfort of patients in operation can be improved significantly.