Application of infusion warming therapy in laparoscopic radical ovarian cancer surgery
ZHANG Shan-ni1 LI Jing1▲ LIU Zhen-hua2
1.Department of Anesthesiology,Dalian Maternal and Child Health Hospital
2.Department of Gastrointestinal Surgery,the Second Affiliated Hospital of Dalian Medical University
Abstract：Objective To investigate the application value of infusion warming on perioperative blood lactic acid and anesthesia recovery in patients undergoing laparoscopic radical ovarian cancer surgery.Methods A total of 80 patients with ovarian cancer treated in Dalian Maternal and Child Health Hospital from January 2019 to April 2020 who underwent laparoscopic radical surgery were selected and divided into two groups with 40 cases in each group according to the random number table method.The observation group was treated with infusion warming during infusion,while the control group was treated with room temperature liquid.The related indexes during anesthesia recovery were compared between the two groups.The incidence of intraoperative awareness and postoperative cognitive dysfunction was compared between the two groups.The diabetic peripheral nerve defect score (NDS) scores before and after intervention were compared between the two groups.The changes of EMG indexes after intervention were compared between the two groups.Results The respiratory recovery time,consciousness recovery time and tracheal extubation time of patients in the observation group were shorter than those in the control group,the difference was statistically significant (P＜0.05).The total rate of intraoperative awareness and postoperative cognitive dysfunction in the observation group was lower than that in the control group,the difference was statistically significant (P＜0.05).There was no significant difference in NDS score between the two groups before intervention (P＞0.05).The NDS scores of the two groups after intervention were lower than those before the intervention,the differences were statistically significant (P＜0.05);the NDS score of the observation group after intervention was lower than that of the control group,the difference was statistically significant (P＜0.05).Before the intervention,there was no statistically significant difference in the blood lactic acid level between the two groups (P＞0.05);the blood lactic acid level after the intervention of the two groups was lower than that before the intervention,and the difference was statistically significant (P＜0.05);the blood lactic acid level of the observation group after intervention was lower than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion For patients undergoing laparoscopic surgery for ovarian cancer,warming therapy with intraoperative infusion can effectively promote anesthesia recovery,reduce anesthesia complications,promote neurological function recovery,and reduce lactic acid level.
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