LUO Mengjia, DAI Yanran, LANG Hongjuan, FENG Fan. Analysis in influencing factors of intraoperative hypothermia in patients with gastrointestinal tumors[J]. Journal of Clinical Medicine in Practice, 2021, 25(6): 45-48. DOI: 10.7619/jcmp.20201672
Citation: LUO Mengjia, DAI Yanran, LANG Hongjuan, FENG Fan. Analysis in influencing factors of intraoperative hypothermia in patients with gastrointestinal tumors[J]. Journal of Clinical Medicine in Practice, 2021, 25(6): 45-48. DOI: 10.7619/jcmp.20201672

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

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  • Received Date: December 12, 2020
  • Available Online: April 08, 2021
  • Published Date: March 27, 2021
  •   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.
  • [1]
    张庆梅, 夏晓琼, 尹学军. 体温保护对剖腹胃癌根治术患者快速康复的影响[J]. 临床麻醉学杂志, 2018, 34(1): 29-32. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201801008.htm
    [2]
    骆佳佳, 方亮, 刘琴, 等. 主动加温装置对椎管内麻醉病人围术期低体温干预效果的Meta分析[J]. 护理研究, 2020, 34(7): 1157-1164. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202007013.htm
    [3]
    董涛. 老年腹部全身麻醉手术患者术中低体温的影响因素[J]. 中国老年学杂志, 2020, 40(6): 1228-1231. doi: 10.3969/j.issn.1005-9202.2020.06.036
    [4]
    马正良, 易杰. 围手术期患者低体温防治专家共识(2017)[J]. 协和医学杂志, 2017, 8(6): 352-358. doi: 10.3969/j.issn.1674-9081.2017.06.007
    [5]
    魏红云, 高钰琳, 童佩, 等. 危重症患者膀胱温与直肠温、耳温的比较研究[J]. 解放军护理杂志, 2020, 37(4): 80-82. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202004025.htm
    [6]
    刘博, 唐晓英, 刘伟峰, 等. 人体核心温度的测量方法研究进展[J]. 中国生物医学工程学报, 2017, 36(5): 608-614. doi: 10.3969/j.issn.0258-8021.2017.05.014
    [7]
    李明, 陈红梅. 经尿道前列腺电切术中低体温的危险因素分析与防护措施[J]. 护理实践与研究, 2020, 17(1): 127-128. doi: 10.3969/j.issn.1672-9676.2020.01.051
    [8]
    吴洪, 温贤秀, 李艳, 等. 加速康复外科在消化道肿瘤患者围手术期营养管理中的应用[J]. 实用医院临床杂志, 2019, 16(4): 280-283. https://www.cnki.com.cn/Article/CJFDTOTAL-YYLC201904088.htm
    [9]
    YI J, LEI Y, XU S, et al. Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: National study in China[J]. PLo S One, 2017, 12(6): e0177221. doi: 10.1371/journal.pone.0177221
    [10]
    顾文雅, 季萍. 手术病人核心体温监测的研究进展[J]. 全科护理, 2017, 15(19): 2321-2324. doi: 10.3969/j.issn.1674-4748.2017.19.007
    [11]
    谢言虎, 陈旭, 吴运香, 等. 术中低体温危险因素分析[J]. 临床麻醉学杂志, 2016, 32(9): 925-927. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201609032.htm
    [12]
    沈新花, 徐敏, 周丽焱. 导致外科手术患者低体温的原因分析与护理对策[J]. 护理实践与研究, 2018, 15(21): 113-114. doi: 10.3969/j.issn.1672-9676.2018.21.046
    [13]
    彭文平, 黄舜, 杨宁, 等. 充气温毯加温技术预防老年和年轻患者围术期低体温效果的比较[J]. 中华老年医学杂志, 2019, 38(11): 1282-1284. doi: 10.3760/cma.j.issn.0254-9026.2019.11.022
    [14]
    徐彦, 陈茜, 陆建平, 等. 术后苏醒室低体温发生率及危险因素[J]. 复旦学报: 医学版, 2016, 43(3): 302-307. doi: 10.3969/j.issn.1672-8467.2016.03.009
    [15]
    陈璋, 郑晋伟, 祁伟, 等. 腹部大手术患者术中发生低体温的危险因素[J]. 世界华人消化杂志, 2017, 25(10): 946-950. https://www.cnki.com.cn/Article/CJFDTOTAL-XXHB201710022.htm
    [16]
    陈冬梅, 莫新少, 陈似霞, 等. 大肝癌术后低温患者复温效果与其体质量指数的相关性研究[J]. 中国实用护理杂志, 2016, 32(11): 819-822. doi: 10.3760/cma.j.issn.1672-7088.2016.11.005
    [17]
    LÓPEZ-IBARRA Z, MODREGO J, VALERO-MÑOZ M, et al. Metabolic differences between white and brown fat from fasting rabbits at physiological temperature[J]. J Mol Endocrinol, 2015, 54(2): 105-113. doi: 10.1530/JME-14-0255
    [18]
    熊璨, 高兴莲, 向御婷, 等. 成人手术患者术中低体温影响因素的Meta分析[J]. 护理学报, 2018, 25(2): 48-53. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201802014.htm
    [19]
    齐菲, 张艳秋, 李琳琳, 等. 腹腔镜结直肠癌手术术中低体温相关危险因素分析[J]. 中国实验诊断学, 2019, 23(3): 432-434. doi: 10.3969/j.issn.1007-4287.2019.03.020
    [20]
    普鹰, 张莹, 汤佳骏, 等. 腹腔镜手术患者术中低体温预测模型的构建及应用[J]. 中华护理杂志, 2019, 54(9): 1308-1312. doi: 10.3761/j.issn.0254-1769.2019.09.005
    [21]
    DEAN M, RAMSAY R, HERIOT A, et al. Warmed, humidified CO2 insufflation benefits intraoperative core temperature during laparoscopic surgery: a meta-analysis[J]. Asian J Endosc Surg, 2017, 10(2): 128-136. doi: 10.1111/ases.12350

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