Effect of continuous comprehensive thermal insulation measures on resuscitation of patients with lung cancer after radical surgery

doi:10.3760/cma.j.issn.1007-1245.2023.14.027

Abstract

Abstract:

Objective　To explore the effect of continuous comprehensive thermal insulation measures on resuscitation of patients with lung cancer after radical surgery. Methods　Sixty patients with lung cancer who undergo selective radical surgery at Longhua District Central Hospital from October 2021 to October 2022 were selected for the randomized controlled trial. They were divided into a reference group and an analysis group by the random number table method, with 30 cases in each group. There were 24 males and 6 females in the reference group; they were (55.23±7.11) years old. There 23 males and 7 females in the analysis group; they were (53.92±6.44) years old. The reference group took routine thermal insulation measures, and the analysis group continuous comprehensive thermal insulation measures. The anal temperatures before tracheal intubation (T1), 30 (T2), 60 (T3), 90 (T4), 120 (T5), and 150 (T6) min after induction, and after the operation (T7) and the surgical indicators were compared between the two groups. t and χ² tests were applied. Results　The anal temperatures at T1, T2, T3, T4, T5, T6, and T7 were (36.89±0.34), (36.62±0.45), (36.23±0.36), (35.88±0.27), (35.72±0.28), (35.61±0.34), and (35.24±0.89) ℃ in the reference group, and were (36.90±0.30), (36.91±0.34), (36.67±0.36), (36.50±0.42), (36.44±0.47), (36.40±0.56), and (36.44±0.66) ℃ in the analysis group (t=0.287, P=0.774; t=2.816, P=0.006; t=4.736, P<0.001; t=6.801, P<0.001; t=7.208, P<0.001; t=6.604, P<0.001; t=5.931, P<0.001). The extubation time of the reference group was longer than that of the analysis group [(42.26±6.26) min vs. (28.50±5.37) min; t=9.137, P<0.001]. The retention time at recovery room in the reference group was longer than that in the analysis group [(68.19±10.35) min vs. (55.43±6.79) min; t=5.646, P<0.001]. The intraoperative blood loss in the reference group was higher than that in the analysis group [(452.74±44.41) ml vs. (336.69±37.19) ml; t=10.973, P<0.001]. The incidences of postoperative shiver and hypothermia in the reference group were significantly higher than those in the analysis group [(23.33% (7/30) vs. 3.33% (1/30) and 20.00% (6/30) vs. 3.33% (1/30); χ²=5.192 and 4.403, P=0.022 and 0.044]. Conclusions　Continuous comprehensive thermal insulation measures can reduce the anesthesia extubation, retention time at recovery room, intraoperative blood loss, and incidences of shiver and hypothermia of patients with lung cancer after radical surgery.

Key words:

Radical surgery for lung cancer, Continuous comprehensive thermal insulation measures, Recovery, Body temperature, Heating blanket

摘要：

目的　探讨连续性综合保温措施对肺癌根治术患者术后复苏的影响。方法　选取2021年10月至2022年10月于深圳市龙华区中心医院择期行肺癌根治术的患者60例进行随机对照试验，随机数字表法将其分为参比组和分析组，各30例。参比组男24例，女6例，年龄（55.23±7.11）岁；分析组男23例，女7例，年龄（53.92±6.44）岁。参比组采用常规保温措施，分析组采用连续性综合保温措施。比较两组气管插管前（T1）、诱导后30 min（T2）、60 min（T3）、90 min（T4）、120 min（T5）、150 min（T6）和术毕（T7）时肛温及手术指标。采用t检验和χ²检验。结果　参比组T1、T2、T3、T4、T5、T6、T7时肛温分别为（36.89±0.34）、（36.62±0.45）、（36.23±0.36）、（35.88±0.27）、（35.72±0.28）、（35.61±0.34）、（35.24±0.89）℃，分析组分别为为（36.90±0.30）、（36.91±0.34）、（36.67±0.36）、（36.50±0.42）、（36.44±0.47）、（36.40±0.56）、（36.44±0.66）℃（t=0.287，P=0.774；t=2.816，P=0.006；t=4.736，P<0.001；t=6.801，P<0.001；t=7.208，P<0.001；t=6.604，P<0.001；t=5.931，P<0.001）。参比组拔管时间长于分析组［（42.26±6.26）min比（28.50±5.37）min；t=9.137，P<0.001］；参比组复苏室滞留时间长于分析组［（68.19±10.35）min比（55.43±6.79）min；t=5.646，P<0.001］。参比组术中出血量高于分析组［（452.74±44.41）ml比（336.69±37.19）ml；t=10.973，P<0.001］。参比组术后寒战、低体温发生率均显著高于分析组［23.33%（7/30）比3.33%（1/30）、20.00%（6/30）比3.33%（1/30）；χ²=5.192、4.403，P=0.022、0.044］。结论　连续性综合保温措施可缩短肺癌根治术后患者麻醉拔管时间、复苏室滞留时间，降低书中出血量，减少寒战、低体温发生率。

关键词:

肺癌根治术, 连续性综合保温护理措施, 复苏, 体温, 升温毯

Huang Liyi, Li Zhiyong, Chen Feiqiang, Wu Yanqin.

Effect of continuous comprehensive thermal insulation measures on resuscitation of patients with lung cancer after radical surgery [J]. International Medicine and Health Guidance News, 2023, 29(14): 2042-2046.

黄丽仪黎智勇陈飞强吴艳琴.

连续性综合保温措施对肺癌根治术患者术后复苏的影响 [J]. 国际医药卫生导报, 2023, 29(14): 2042-2046.

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