消化道肿瘤手术患者术中低体温影响因素分析

Analysis in influencing factors of intraoperative hypothermia in patients with gastrointestinal tumors

  • 摘要:
      目的  分析消化道肿瘤手术患者术中发生低体温的影响因素。
      方法  选取全身麻醉下行消化道肿瘤根治术的患者500例作为研究对象,采用自制术中数据登记表收集患者的一般资料和手术相关资料,对影响术中低体温的因素进行单因素分析和多因素分析。
      结果  160例(占32.0%)患者发生术中低体温(低体温组),340例(占68.0%)患者未发生术中低体温(非低温组);单因素分析显示,低体温组年龄、体质量指数(BMI)、手术时间、肿瘤类型、手术方式及术前体温与非低体温组比较,差异有统计学意义(P < 0.05);多因素分析显示,年龄≥ 60岁、BMI < 22 kg/m2以及采用腹腔镜手术方式是消化道肿瘤手术患者发生术中低体温的独立危险因素(P < 0.05)。
      结论  消化道肿瘤手术患者的术中低体温发生率较高,年龄、BMI以及手术方式是患者发生术中低体温的独立影响因素,临床应采取针对性措施加以防范。

     

    Abstract:
      Objective  To analyze influencing factors of intraoperative hypothermia in patients with gastrointestinal tumors.
      Methods  A total of 500 patients undergoing radical gastrectomy under general anesthesia were selected as study objects. The self-made intraoperative data registration form was used to collect the general information of the patients and the information related to the operation. Univariate and multivariate analyses were performed for these influencing factors.
      Results  Hypothermia occurred in 160 cases(32.0%, hypothermia group), and 340 cases (68.0%) without hypothermia were selected as non-hypothermia group. Univariate analysis showed that there were statistically significant differences in the incidence of age, body mass index (BMI), operation time, tumor type, operation method and preoperative temperature between hypothermia group and non-hypothermia group(P < 0.05). Multivariate analysis showed that age ≥ 60 years, BMI < 22 kg/m2 and laparoscopic surgery were independent influencing factors for hypothermia in patients undergoing digestive tract tumor surgery (P < 0.05).
      Conclusion  The incidence of intraoperative hypothermia is high in patients with digestive tract tumors. Age, BMI and surgical methods are independent influencing factors for the occurrence of intraoperative hypothermia, and clinical measures should be taken to prevent it.

     

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