摘要
目的探讨复合硬膜外阻滞对全麻胃癌根治术患者核心体温的影响。方法选取2018年12月至2019年12月于我院行胃癌根治术的100例患者,严格遵循随机抽样原则,将患者分为治疗组(50例,全麻复合硬膜外阻滞)和对照组(50例,全麻)。比较两组患者核心体温、低体温发生率、低体温持续时间、术后3 d内再次发热发生率、术中出血量、拔管时间及寒战发生率。结果治疗组患者的核心体温显著低于对照组,低体温发生率显著高于对照组,低体温持续时间显著长于对照组(P<0.05)。治疗组患者术后3 d内再次发热的发生率显著高于对照组(P<0.05)。治疗组患者的术中出血量、拔管时间及寒战发生率与对照组比较,差异均无统计学意义(P>0.05)。结论全麻复合硬膜外阻滞会显著增加患者低体温的发生率以及持续时间,提示在使用全麻复合硬膜外阻滞时,应注意采取相应的保温措施。
Objective To explore the effect of compound epidural block on core temperature of patients undergoing radical gastrectomy under general anesthesia.Methods From December 2018 to December 2019,100 patients undergoing radical gastrectomy in our hospital were selected.Strictly following the principle of random sampling,the patients were divided into treatment group(50 cases,general anesthesia combined with epidural block)and control group(50 cases,general anesthesia).The core temperature,incidence of hypothermia,duration of hypothermia,recurrence rate of fever within 3 days after operation,intraoperative blood loss volume,extubation time and incidence of shivering were compared between the two groups.Results The core temperature in the treatment group was significantly lower than that in the control group,the incidence of hypothermia was significantly higher than that in the control group,and the duration of hypothermia was significantly longer than that in the control group(P<0.05).The incidence of fever within 3 days after operation in the treatment group was significantly higher than that in the control group(P<0.05).The intraoperative blood loss volume,extubation time and incidence of shivering in the treatment group compared with those in the control group,the differences were not statistically significant(P>0.05).Conclusion General anesthesia combined with epidural block can significantly increase the incidence and duration of hypothermia in patients.It is suggested that appropriate heat preservation measures should be taken when using general anesthesia combined with epidural block.
作者
黄强
李丹平
朱志富
刘萍
张秀云
HUANG Qiang;LI Danping;ZHU Zhifu;LIU Ping;ZHANG Xiuyun(Maonan People's Hospital,Maoming 525000,China)
出处
《临床医学研究与实践》
2020年第22期62-63,66,共3页
Clinical Research and Practice
基金
茂名市科技计划项目(No.190401151700129)。
关键词
全麻
硬膜外阻滞
胃癌根治术
核心体温
general anesthesia
epidural block
radical gastrectomy
core temperature
