核心体温维持对老年腹腔手术患者围麻醉期的临床价值

Clinical Value of Core Body Temperature Maintenance during Perioperative Anesthesia in Elderly Patients Undergoing Abdominal Surgery

目的分析对老年腹腔手术患者给予核心体温维持对其围麻醉期的影响。方法选择该院2016年2月—2018年3月收治的86例老年腹腔手术患者进行研究,按照患者有无接受核心体温维持分为治疗组43例、对照组43例,其中治疗组给予核心体温维持,对照组不进行核心体温维持,比较两组干预效果。结果治疗组术中失血量、术中输血量、麻醉拔管时间、麻醉苏醒时间均短于对照组;治疗组手术结束时TT、PT、APTT指标均低于对照组(P<0.05);治疗组并发症发生率为11.63%,对照组并发症发生率30.23%(χ~2=4.496 7,P=0.034 0)。结论对老年腹腔手术患者进行核心体温维持能够提升围麻醉期安全性,值得推广。

Objective To analyze the effect of core temperature maintenance on the anesthesia period in elderly patients undergoing abdominal surgery. Methods Eighty-six elderly patients undergoing abdominal surgery from February 2016 to March 2018 in our hospital were enrolled. According to the patient's core temperature maintenance, 43 patients in the treatment group and 43 patients in the control group were included. The body temperature was maintained, and the control group did not maintain core body temperature, and the intervention effects of the two groups were compared. Results The blood loss, intraoperative blood transfusion, anesthesia extubation time, and anesthesia recovery time were shorter in the treatment group than in the control group. The TT, PT, and APTT indexes were lower in the treatment group than in the control group(P<0.05). The complication rate was 11.63%, and the complication rate in the control group was 30.23%(χ^2=4.496 7, P=0.034 0). Conclusion The maintenance of core body temperature in elderly patients undergoing abdominal surgery can improve the safety of the anesthesia period and is worthy of promotion.