Analysis of Risk Factors and Prevention and Treatment Strategies for Shivering After Prostatectomy
Objective:To analyze the risk factors of postoperative chills after TURP,and to discuss the specific prevention and treatment measures.Methods:The clinical data of 154 patients undergoing TURP operation in Xinyang 154 Hospital of Rongtong Group from January 2021 to June 2022 were retrospectively analyzed,the risk factors of postoperative chills were summarized.The specific prevention and treatment strategies were formulated.Results:Age＜45 years old,combined cardiovascular disease,preoperative self-rating Anxiety Scale(SAS)score ≥50 points,self-rating Depression Scale(SDS)score ≥52 points,Social Readmission Rating Scale(SRRS)score≥ 150 points,preoperative visual analogue pain scale(VAS)score ≥ 3 points,intraoperative central temperature ≤36.0 ℃,operation time ≥ 1 h,intraoperative blood loss ≥ 60 mL,sodium ion(Na+)≤135 mmol/L after irrigation,potassium ion(K+)≤3.5mmol/L,and intraoperative mean arterial pressure(MAP)≤70mmHg were the risk factors for postoperative shivering after TURP(OR=5.325.5.229,6.325,6.321,5.336,5.161,5.339,5.772,6.033,6.255;P＜0.05).Conclusion:In young patients with TURP complicated with cardiovascular disease,postoperative chills may occur due to preoperative adverse psychology,pain,intraoperative hypothermia,prolonged operation time,excessive blood loss,electrolyte and sign disorders.Preoperative psychological intervention,pain management,intraoperative heat preservation measures,and physical signs monitoring are important measures to prevent and treat postoperative chills.
ProstatectomyPostoperative chillsRisk factorsPrevention and control strategies
万方数据
维普
