输液加温治疗在腹腔镜卵巢癌根治术患者中的应用

Application of infusion warming therapy in laparoscopic radical ovarian cancer surgery

目的探讨输液加温治疗在腹腔镜卵巢癌根治术患者中的应用价值。方法选择2019年1月~2020年4月大连市妇幼保健院收治的卵巢癌实施腹腔镜下根治术患者80例,按照随机数字表法分为两组,各40例。观察组在术中输液过程中行输液加温治疗,对照组患者则输注室温液体。比较两组麻醉复苏时相关指标;比较两组术中知晓及术后认知功能障碍发生率;比较干预前后两组糖尿病周围神经缺陷评分(NDS)评分;比较两组干预后神经肌电图指标变化情况。结果观察组患者恢复呼吸时间、恢复意识时间和拔除气管导管时间均短于对照组,差异有统计学意义(P<0.05);观察组发生术中知晓及术后认知功能障碍的总比例低于对照组,差异有统计学意义(P<0.05);干预前两组NDS评分比较,差异无统计学意义(P>0.05);两组干预后NDS评分低于干预前,差异有统计学意义(P<0.05);观察组干预后NDS评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组血乳酸水平比较,差异无统计学意义(P>0.05);两组干预后血乳酸水平低于干预前,差异有统计学意义(P<0.05);观察组干预后血乳酸水平低于对照组,差异有统计学意义(P<0.05)。结论针对卵巢癌腹腔镜手术治疗患者,给予术中输液加温治疗,能有效地促进患者麻醉复苏,减少麻醉并发症,促进神经功能恢复,并降低乳酸水平。

Objective To investigate the application value of infusion warming on perioperative blood lactic acid and anesthesia recovery in patients undergoing laparoscopic radical ovarian cancer surgery.Methods A total of 80 patients with ovarian cancer treated in Dalian Maternal and Child Health Hospital from January 2019 to April 2020 who underwent laparoscopic radical surgery were selected and divided into two groups with 40 cases in each group according to the random number table method.The observation group was treated with infusion warming during infusion,while the control group was treated with room temperature liquid.The related indexes during anesthesia recovery were compared between the two groups.The incidence of intraoperative awareness and postoperative cognitive dysfunction was compared between the two groups.The diabetic peripheral nerve defect score(NDS)scores before and after intervention were compared between the two groups.The changes of EMG indexes after intervention were compared between the two groups.Results The respiratory recovery time,consciousness recovery time and tracheal extubation time of patients in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05).The total rate of intraoperative awareness and postoperative cognitive dysfunction in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in NDS score between the two groups before intervention(P>0.05).The NDS scores of the two groups after intervention were lower than those before the intervention,the differences were statistically significant(P<0.05);the NDS score of the observation group after intervention was lower than that of the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the blood lactic acid level between the two groups(P>0.05);the blood lactic acid level after the intervention of the two groups was lower than that before the intervention,and the difference was statistically significant(P<0.05);the blood lactic acid level of the observation group after intervention was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients undergoing laparoscopic surgery for ovarian cancer,warming therapy with intraoperative infusion can effectively promote anesthesia recovery,reduce anesthesia complications,promote neurological function recovery,and reduce lactic acid level.