首页|温热扶阳枕对输尿管结石钬激光碎石术中低体温发生率影响的研究

温热扶阳枕对输尿管结石钬激光碎石术中低体温发生率影响的研究

Influence of Warm Yang Pillow on Incidence of Hypothermia During Holmium Laser Lithotripsy of Ureteral Calculi

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目的:探讨温热扶阳枕对输尿管结石钬激光碎石术中低体温发生率的影响,拟为输尿管结石碎石患者提供一种有效、实用、安全、低成本的术中低体温预防新方法.方法:选取2023年1月至2024年1月东莞市中医院手术室进行输尿管结石钬激光碎石手术的患者100例为研究对象,随机等分为对照组、试验组,各50例.对照组采用常规体温管理,试验组在对照组基础上增加温热扶阳枕干预.比较两组患者不同时间点(麻醉开始前、麻醉完成后、手术切皮前、术中、手术结束时、离开术间前)体温、血压、心率、呼吸、血氧的变化;比较两组患者术后寒颤与低体温发生率.结果:经统计分析,试验组在术中时体温水平相比对照组高(P<0.05);试验组在术中时心率、呼吸频率水平相比对照组低(P<0.05).两组间各个时间点的血压、血氧饱和度比较,无统计学差异(P>0.05).相比对照组术后寒颤发生率(26.00%)、低体温发生率(30.00%),试验组术后寒颤发生率(4.00%)、低体温发生率(8.00%)更低(P<0.05).结论:温热扶阳枕可以降低输尿管结石钬激光碎石术后寒颤、低体温的发生率,为温热扶阳枕的推广提供临床参考.
Objective:To explore the effect of warm Yang pillow on the incidence of hypothermia during ureteral calculi holmium laser lithotripsy,in order to provide an effective,practical,safe and low-cost method for preventing intraoperative hypothermia in patients with ureteral calculi.Methods:A total of 100 patients undergoing ureteral calculus holmium laser lithotripsy from January 2023 to January 2024 in the operating room of Dongguan Hospital of Traditional Chinese Medicine were selected as the study objects,and randomly divided into control group and experimental group,with 50 cases in each group.The control group with normal temperature management,patients in the control group on the basis of increase warm hand Yang pillow intervention.The changes of body temperature,blood pressure,heart rate,respiration and blood oxygen at different time points(before anesthesia,after anesthesia,before skin incision,during operation,at the end of operation and before leaving the operation room)were compared between the two groups.Compare two groups of patients with postoperative chills and the incidence of low body temperature.Results:Statistical analysis showed that the intraoperative temperature level of the experimental group was higher than that of the control group(P<0.05).Experimental group in art of heart rate and breathing rate level lower than control group(P<0.05).Each time point between the two groups of blood pressure,blood oxygen saturation,no statistical difference(P>0.05).Compared with the control group(26.00%),the incidence of postoperative shivering,the incidence of low body temperature(30.00%),treatment group(4.00%),the incidence of postoperative shivering,lower incidence of low body temperature(8.00%)(P<0.05).Conclusion:Warm hand Yang pillow can reduce postoperative shivering holmium laser lithotripsy of ureteral calculi,the incidence of low body temperature,for the warm help Yang provide clinical reference in the promotion of the pillow.

Warm Yang PillowHolmium Laser Lithotripsy for Ureteral CalculiHypothermia

马仙华、肖大伟、黎德恩

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广州中医药大学东莞医院手术室(广东东莞 523000)

温热扶阳枕 输尿管结石钬激光碎石术 低体温

东莞市社会发展科技项目任务书

20231800938522

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(5)
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