首页|腹腔镜结直肠癌手术患者术中低体温的影响因素分析

腹腔镜结直肠癌手术患者术中低体温的影响因素分析

Analysis of Influencing Factors of Intraoperative Hypothermia in Patients Undergoing Laparoscopic Colorectal Cancer Operation

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目的:探讨腹腔镜结直肠癌手术患者术中低体温发生的危险因素.方法:回顾2022年1月至2023年12月于我院行腹腔镜结直肠癌手术的150例患者资料,按术中是否出现低体温分为未发生低体温组(100例,下称对照组)和发生体低温组(50例,下称研究组).通过单因素及Logistic回归分析导致低体温发生的危险因素.结果:研究组与对照组患者年龄、体质量指数(BMI)、麻醉时间、术中输血情况、术中补液量、术中出血量方面具有明显差异,P<0.05.Logistic回归分析显示,年龄、BMI、麻醉时间、术中输血情况、术中输液量是影响术中低体温发生的独立因素,P<0.05.结论:腹腔镜结直肠癌手术患者术中体温受多因素影响,对于高龄、瘦弱、麻醉时间长、术中输血、补液量大的患者应重点关注,积极干预,避免低体温的发生.
Objective To investigate the risk factors of intraoperative hypothermia in patients undergoing laparoscopic colorectal cancer surgery.Methods The data of 150 patients who underwent laparoscopic colorectal cancer operation in our hospital from January 2022 to December 2023 were reviewed and divided into two groups:no hypothermia group(100 cases,control group for short hereinafter)and hypothermia group(50 cases,study group for short hereinafter)according to whether hypothermia occurred during the operation.The risk factors of hypothermia were analyzed by single factor and logistic regression.Results There were significant differences in age,body mass index(BMI),anesthesia time,intraoperative blood transfusion,intraoperative infusion volume and intraoperative blood loss between the study group and the control group(P<0.05).Logistic regression analysis showed that age,BMI,anesthesia time,intraoper-ative blood transfusion and intraoperative infusion volume were independent factors affecting the occur-rence of intraoperative hypothermia(P<0.05).Conclusion The intraoperative body temperature of patients undergoing laparoscopic colorectal cancer operation is influenced by multiple factors.For patients who are aged,thin,anesthetic for a long time,and have large intraoperative blood transfusion or infusion volume,attention should be paid and active intervention should be made to avoid hypothermia.

Colorectal cancerLaparoscopic operationIntraoperative hypothermiaRisk factor

周纷、袁倩倩、张凯胤

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信阳市中心医院手术室(河南信阳 464000)

信阳市中心医院东院区急诊科(河南信阳 464000)

结直肠癌 腹腔镜手术 术中低体温 危险因素

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(8)