充气加温仪预加温在经皮肾镜碎石取石术中的应用效果及对术中核心体温、应激反应的影响

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Abstract Objective To investigate the application effect of inflatable heater pre-heating in percutaneous nephrolithotriptomy (PCNL) and its effect on the changes of core body temperature and stress response of patients during operation.Methods A total of 160 cases of patients admitted to Yunfu People′s Hospital for PCNL from January 2020 and September 2021 were selected as the research objects,they were divided into the observation group and control group according to the random number table method,with 80 cases in each group.Control group uses conventional heat preservation measures,observation group uses temperature aeration and pre-heating assisted surgery,the changes of core body temperature between the two groups were recorded and compared,30,60 and 90 min after induction of anesthesia,and the perioperative clinical indicators such as operation time,intraoperative blood loss,infusion volume,flushing fluid volume,anesthesia recovery time and hospital stay were compared between the two groups.The occurrence of intraoperative hypothermia,slow body temperature recovery,postoperative chills and other stress reactions were compared between the two groups.Results There was no significant difference in core body temperature between the two groups after 30 min of induction of anesthesia (P>0.05).The core body temperature of the observation group was higher than that of the control group after 60 and 90 min of induction of anesthesia,and the difference was statistically significant (P<0.05).The observation group′s recovery time from anesthesia and hospital stay were shorter than those of the control group,and the differences were statistically significant (P<0.05).There were no statistically significant differences in the operation time,intraoperative blood loss,infusion volume,and irrigation volume between the two groups(P>0.05).The total incidence of stress reaction in the observation group was 12.50% (10/80),which was lower than 27.50% (22/80) in the control group,the difference was statistically significant (P<0.05).Conclusion Intraoperative use of inflatable thermometer for patients in PCNL with pre-heating can effectively maintain the intraoperative core body temperature level,this auxiliary equipment does not affect the normal operation process,but can effectively promote the emergence and shorten the postoperative hospital stay,the risk of intraoperative and postoperative stress reaction is lower after pre-heating with inflatable heater,which is more conducive to postoperative recovery,and has high clinical application value.

Key words： Percutaneous nephrolithotripsy Inflatable heating instrument Core body temperature Stress response Impact analysis

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	Articles by authors
	TANG Guixiang
	HUANG Yongyi
	LUN Chuyi
	LI Yunjie

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TANG Guixiang,HUANG Yongyi,LUN Chuyi, et al. Application effect of pre-heating with inflatable heating device in percutaneous nephrolithotomy and its influence on core body temperature and stress response during operation[J]. 中国当代医药, 2022, 29(14): 70-73.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I14/70

[1]	黄培培，米元元，吴白女，等.围手术期非计划性低体温预防策略的研究进展[J].护理与康复，2019，18（8）：33-35.
[2]	李桂芝，李燕，刘燕，等.麻醉诱导期不同预保温措施对胃肠开腹手术老年患者围术期体温的影响[J].现代临床护理，2020，19（1）：34-38.
[3]	李佳雨，蓝涛，李柏骏.经皮肾镜取石术患者低体温的护理研究进展[J].世界最新医学信息文摘，2019，19（45）：42-43.
[4]	韩瑞馨，高士红，孙丽娟.充气升温毯对腹部手术患者围手术期低体温Meta 分析[J].中国老年保健医学，2020，18（1）：34-38.
[5]	童晓茹，涂慧慧.围术期低体温原因分析和保护措施选择[J].现代仪器与医疗，2019，25（1）：77-80.
[6]	吴晓丽，李向南，袁从虎.多模式保温对经皮肾镜取石术患者术中低体温及麻醉恢复质量的影响[J].现代医学，2020，48（2）：198-200.
[7]	王思思，吴海萍，贺遵芳.保温毯联合加温冲洗液对经皮肾镜碎石术患者应激反应和术中低体温发生率的影响[J].中国医学创新，2020，17（15）：155-159.
[8]	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.
[9]	梁小霞.充气式升温毯在经皮肾镜取石术中预防患者寒战的效果评价[J].实用临床护理学电子杂志，2017，2（1）：70-71.
[10]	王琼，张萍，陈齐，等.保温护理措施对经皮肾镜取石术患者的影响[J].世界最新医学信息文摘，2019，19（27）：316，318.
[11]	韩艳，骆良文.加温冲洗液联合充气升温毯对经皮肾切开碎石取石术患者术中低体温发生率的影响[J].罕少疾病杂志，2020，27（4）：74-76.
[12]	万梅红，张玉红，项晗，等.充气式加温仪保温处理在腹腔镜手术患者中的应用效果[J].实用临床医学，2021，22（3）：80-81.
[13]	胡皓琳，邱云.充气式保温毯下肢大血管复温对乳腺癌患者术中低体温的预防效果[J].中国实用护理杂志，2020，36（22）：1740-1745.
[14]	葛经武，杜祥飞，乔玫.充气式保温毯上半身加温对侧卧位胸腔镜手术患者术中低体温的干预效果[J].中国实用护理杂志，2021，37（10）：733-738.
[15]	董敏，张婧，杜金航.充气加温毯不同温度调节对腹腔镜胆囊切除术病人术中体温变化及炎症细胞因子水平的影响[J].全科护理，2020，18（28）：3782-3784.