Influence of intraoperative temperature management combined with enhanced recovery after surgery on perioperative temperature and comfort in cesarean section patients
Objective To assess the impact of intraoperative temperature control integrated with an enhanced recovery after surgery(ERAS)protocol on perioperative temperature and comfort levels in patients undergoing cesarean section.Methods A retrospective analysis was conducted on 100 cesarean section patients at Wuxi Ninth People's Hospital from August 2020 to February 2023,who received intraoperative temperature control combined with ERAS postoperatively,and were designated as the temperature control group.Another 100 cesarean section patients,matched for age,gestational age,and duration of surgery,who received standard intraoperative warming combined with ERAS postoperatively,were designated as the conventional warming group.Perioperative temperature,intraoperative and postoperative conditions,thermal comfort,and perioperative inflammatory markers were compared between the two groups.Results The temperature control group had significantly higher body temperatures at the time of fetal delivery,surgery completion,and at 10,30,and 60 minutes after entering the post-anesthesia care unit compared to the conventional warming group(t=11.916,19.586,40.969,20.827,11.722;P<0.05).The incidence of intraoperative hypothermia and shivering was significantly lower in the temperature control group than in the conventional warming group(χ2=38.281,17.786;P<0.05).Postoperatively,the rates of infection and adverse events were also significantly lower in the temperature control group(χ2=4.031,4.735;P<0.05).A higher proportion of patients in the temperature control group reported feeling comfortably warm,while a lower proportion felt cold compared to the conventional warming group(χ2=19.187,15.273;P<0.05).Conclusion Intraoperative temperature control combined with ERAS can stabilize perioperative body temperature,reduce the incidence of intraoperative hypothermia and shivering,and enhance comfort in patients undergoing cesarean section.
Temperature ControlEnhanced Recovery After SurgeryCesarean SectionBody TemperatureComfort Level
万方数据
维普
