子宫肌瘤腹腔镜术后患者低体温的影响因素分析

Influencing factors of hypothermia in patients with uterine fibroids after laparoscopic surgeries

目的:分析子宫肌瘤腹腔镜术后患者低体温的影响因素分析。方法:选取83例行腹腔镜手术治疗的子宫肌瘤患者作为研究对象。收集患者的临床资料,采用Logistic回归分析子宫肌瘤腹腔镜术后患者术后发生低体温的影响因素。结果:83例子宫肌瘤腹腔镜术后患者发生低体温28例,占33.73%;不同年龄、体质量指数和手术时间的子宫肌瘤腹腔镜术后患者低体温发生率比较,差异均无统计学意义(P>0.05);子宫肌瘤患者腹腔镜术后发生低体温者的麻醉时间≥3 h、手术室温度<24℃、术中输液温度<37℃和术中未应用保暖措施者占比均高于术后未发生低体温者,差异有统计学意义(P<0.05);Logistic回归分析结果显示,麻醉时间≥3 h、手术室温度<24℃、术中输液温度<37℃和术中未应用保暖措施均为子宫肌瘤腹腔镜术后患者低体温的独立危险因素(P<0.05)。结论:33.73%的子宫肌瘤腹腔镜术后患者可发生低体温,麻醉时间≥3 h、手术室温度<24℃、术中输液温度<37℃和术中未应用保暖措施均为子宫肌瘤腹腔镜术后患者低体温的独立危险因素。

Objective:To analyzed influencing factors of hypothermia in patients with uterine fibroids after laparoscopic surgeries.Methods:A total of 83 patients with uterine fibroids who underwent laparoscopic surgeries were selected as the research objects.The clinical data of these patients were collected.Logistic regression was used to analyze the influencing factors of postoperative hypothermia.Results:Among the 83 patients with uterine fibroids after laparoscopic surgeries,hypothermia occurred in 28 cases,accounting for 33.73%.There were no statistically significant differences in the incidence of hypothermia in the patients with different ages,BMI and operation time(P>0.05).The incidences of hypothermia in the patients with anesthesia time≥3 h,operating room temperature<24℃,intraoperative infusion temperature<37℃,and no warmkeeping measures during the surgery were higher than those without hypothermia,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that anesthesia time≥3 h,operating room temperature<24℃,intraoperative infusion temperature<37℃,and no warmkeeping measures during the surgery were all the independent risk factors of hypothermia(P<0.05).Conclusions:Hypothermia can occur in 33.73%of the patients with uterine fibroids after laparoscopic surgeries.Moreover,anesthesia time≥3 h,operating room temperature<24℃,intraoperative infusion temperature<37℃,and no warm-keeping measures during the surgery were all the independent risk factors of hypothermia.