加温冲洗液联合充气升温毯对经皮肾切开碎石取石术患者术中低体温发生率的影响

Effect of Warming Rinse Combined with Inflation Blanket on the Incidence of Hypothermia in Patients Undergoing Percutaneous Nephrolithotomy

目的探讨加温冲洗液联合充气升温毯对经皮肾切开碎石取石术患者术中低体温发生率的影响。方法选取我院经皮肾切开碎石取石术患者188例(2018年8月~2019年8月),采用随机数字表法,分为研究组(n=94)、对照组(n=94)。对照组采用常规盖被保温,研究组在对照组基础上采用加温冲洗液联合充气升温毯,统计比较两组围术期指标(术中尿量、术后苏醒时间、拔管时间)、术中各时间点体温值(术前、术中30min、术中60min、术中90min、术毕)及并发症(低体温、寒战、心动过速、低氧血症)发生率。结果研究组术后苏醒时间、拔管时间短于对照组,术中尿量低于对照组(P<0.05);研究组术中30min、术中60min、术中90min、术毕体温高于对照组(P<0.05);研究组低体温发生率1.06%、寒战发生率2.13%低于对照组10.64%、11.70%(P<0.05);研究组低氧血症发生率为3.19%、心动过速发生率为4.26%,与对照组6.38%、7.45%比较无显著差异(P>0.05)。结论加温冲洗液联合充气升温毯可缩短经皮肾切开碎石取石术患者麻醉苏醒时间、拔管时间,减少术中尿量,有效维持患者体表温度稳定,减少低体温、寒战发生。

Objective To investigate the effect of warming irrigating fluid combined with inflatable warming blanket on the incidence of hypothermia in patients undergoing percutaneous nephrolithotomy.Methods A total of 188 patients with percutaneous nephrolithotomy and stone removal in our hospital(from August 2018 to August 2019)were randomly divided into study group(n=94)and control group(n=94).).The control group was incubated with a conventional lid.The study group used a warming irrigating fluid combined with a heating blanket on the basis of the control group.The perioperative index of the two groups(intraoperative urine volume,postoperative recovery time,extubation time),and surgery were statistically compared.The body temperature values at each time point(preoperative,intraoperative 30 min,intraoperative 60 min,intraoperative 90 min,surgery)and complications(low body temperature,chills,tachycardia,hypoxemia).Results The recovery time and extubation time of the study group were shorter than that of the control group.The intraoperative urine volume was lower than that of the control group(P<0.05).The study group received 30 min,60 min,90 min,and the body temperature was higher than the control.Group(P<0.05);the incidence of hypothermia in the study group was 1.06%,the incidence of chills was 2.13%lower than that in the control group 10.64%,11.70%(P<0.05);the incidence of hypoxemia in the study group was 3.19%,tachycardia The rate of rapid onset was 4.26%,which was not significantly different from the control group of 6.38%and 7.45%(P>0.05).Conclusion Warming rinsing fluid combined with inflatable heating blanket can shorten the time of anesthesia recovery,extubation time,and reduce intraoperative urine volume in patients with percutaneous nephrolithotomy.It can effectively maintain the stability of body surface temperature and reduce hypothermia and chills.