经腹肝癌切除术术中低体温危险因素logistic回归分析与防护措施

Logistic regression analysis and protective measures for risk factors of hypothermia during transabdominal liver cancer resection

目的分析影响经腹肝癌切除术术中低体温发生的危险因素,并就因素拟定防护措施。方法选取我院2015年3月至2018年3月收治96例择期经腹肝癌切除手术治疗患者作为本次调查对象,采用单因素logistic回归分析和多因素logistic回归分析影响经腹肝癌切除术患者术中低体温的危险因素。结果本次接受调查患者中有39例发生低体温,占比40. 63%,与未发生低体温患者相比,术中补液量、失血量、麻醉时间、手术时间为影响肝癌切除术患者术中低体温的单因素,而经多因素logistic回归分析发现,麻醉时间≥3 h、术中补液量> 1500 ml及失血量为造成术中低体温的独立危险因素。结论经腹肝癌切除术患者麻醉时间、补液量及失血量为影响术中低体温发生的重要危险因素,护理人员应加强体温监测、全方面保温等形式控制低体温发生率。

Objective To analyze the risk factors affecting the occurrence of hypothermia during transabdominal liver cancer resection, and to develop protective measures regarding these factors. Methods A total of 96 cases of patients undergoing elective transabdominal liver cancer resection in our hospital from March 2015 to March 2018 were selected as the study subjects. Univariate logistic regression analysis and multivariate logistic regression analysis were used to analyze risk factors for intraoperative hypothermia among patients with transabdominal hepatectomy. Results Among the research subjects,there were 39 patients in this survey had hypothermia, accounting for 40. 63%. Compared with patients without hypothermia, intraoperative fluid replacement volume, blood loss, anesthesia time, and operation time were considered as single factor of hypothermia that affect patients undergoing liver cancer resection. The multivariate logistic regression analysis showed that anesthesia time ≥ 3 hours, intraoperative fluid volume 〉 1500 ml and blood loss volume were independent risk factors for intraoperative hypothermia. Conclusion Anesthesia time, fluid replacement volume and blood loss in patients undergoing resection of abdominal hepatic carcinoma are important risk factors for the occurrence of hypothermia during operation. Nursing staff should strengthen the body temperature monitoring of the patients and take all - round heat preservation to control the incidence of hypothermia.