摘要
目的:探讨预保温方式在结直肠恶性肿瘤手术中应用效果和卫生经济学差异。方法:2019年9—12月我院行结直肠恶性肿瘤手术患者200例,随机分为试验组和对照组,各100例。试验组(B)患者入手术室立即使用充气式保温毯保温,对照组(A)患者麻醉后保温。据手术方式不同将两组再分为开腹组A1/B1和腹腔镜组A2/B2,各50例。结果:B组低体温、并发症发生率低于A组,差异有统计学意义(P<0.05);B2组住院总费用低于A2组,A1组低于A2组,差异有统计学意义(P<0.05);B1/A2组平均住院日低于A1组,B2组低于A1、A2、B1组,差异有统计学意义(P<0.05)。结论:预保温方式能有效减少结直肠恶性肿瘤手术患者术后低体温、并发症发生,缩短住院时间,具有卫生经济学意义。
Objective:To explore the differences in efficacy and health economics of two different warming intervention in patients undergoing colorectal cancer surgery.Methods:200 patients who planned for colorectal tumor surgery from September to December in 2019 were selected and divided into experimental group(Group B)and control group(Group A)according to the random number table method,100 patients in the experimental group and100 patients in the control group.Each group was divided into two subgroups according to the different operating methods,patients with laparotomy were recruited in Group A1 or B1,while those with laparoscopic surgery in Group A2 or B2,50 in each subgroup.The test group was kept warm with forced-air warming blankets when the patients came into the operating room,and the control group was given warming measures after anesthesia.Results:The incidence of hypothermia and complications in group B was lower than that of group A(P<0.05).The total hospitalization expenses in group A2 was higher compared to group B2(P<0.05),while higher than that of group A1(P<0.05).The average length of hospital stay in group B1 was shorter than that in group A1,and the average length of hospital stay in group B2 was significantly shorter compared to group A1/A2/B1.Conclusion:The pre-warming treatment can effectively reduce postoperative hypothermia and complications in patients underwent colorectal tumor surgery,and shorten the length of hospital stay with health economic significance.
作者
陈纬纬
崔颖
杨霞
胡宏海
CHEN Weiwei;CUI Ying;YANG Xia;HU Honghai(Operating Room,Zhongda Hospital,Southeast University,Nanjing 210009,China)
出处
《现代医学》
2020年第8期1072-1076,共5页
Modern Medical Journal
关键词
预保温
结直肠恶性肿瘤
卫生经济学
prewarming treatment
colorectal malignancy
health economic
