充气式保温毯对腹腔镜胃癌根治术患者术中体温及围术期预后的影响

Effect of inflatable insulation blanket on intraoperative temperature and perioperative prognosis of patients undergoing laparoscopic radical gastrectomy for gastric cancer

目的:探讨充气式保温毯对腹腔镜胃癌根治术患者术中体温、低体温发生率、麻醉苏醒期气管插管拔管时间、并发症发生率以及住院时间的影响。方法:采取横断面整群抽样的方法选取西安市某三甲医院手术室行腹腔镜胃癌根治术的患者98例,根据随机数字表法将试验对象分为试验组与对照组,每组49例。比较两组患者术中体温、低体温发生率、麻醉苏醒期气管插管拔管时间、并发症发生率以及住院时间。结果:试验组患者术中体温、低体温发生率、麻醉苏醒期气管插管拔管时间、并发症发生率以及住院时间均优于对照组,两组间有统计学差异(P<0.05)。结论:充气式保温毯可减轻腹腔镜胃癌根治术患者术中体温降低、降低低体温发生率、缩短麻醉苏醒期气管插管拔管时间、减少并发症发生率以及缩短住院时间,为保障患者围术期安全及预后提供参考依据。

Objective:To investigate the effects of inflatable insulation blanket on intraoperative body temperature, incidence of hypothermia, extubation time during anesthesia recovery, complications and hospital stay in patients undergoing laparoscopic radical gastrectomy for gastric cancer.Methods:A total of 98 patients undergoing laparoscopic radical gastrectomy in the operating room of a third grade A hospital were selected by cross sectional cluster sampling.The subjects were divided into treatment group and control group according to random number table method, with 49 cases in each group.The intraoperative body temperature, incidence of hypothermia, extubation time during anesthesia recovery, complications and hospital stay were compared between the two groups.Results:Intraoperative body temperature,incidence of hypothermia,extubation time during anesthesia recovery,complications and hospital stay inthe treatment group were better than those in the control group,and there were statistical differences between the twogroups(P< 0. 05).Conclusion:Inflatable insulation blanket can reduce intraoperative hypothermia and incidence ofhypothermia,shorten extubation time during anesthesia recovery,reduce complications and shorten hospital stay in pa-tients undergoing laparoscopic radical gastrectomy for gastric cancer,and provide reference for ensuring perioperativesafety and prognosis of patients.