围手术期不同体温干预模式对老年患者术后谵妄的影响

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Abstract

Objective To explore the influence of different perioperative body temperature intervention mode on postoperative delirium in elderly patients.Methods A total of 80 patients who planned to undergo laparoscopic radical gastrectomy in the First Hospital of Putian City from September 2021 to December 2022 were selected as the research objects.According to random number table method,the patients were divided into control group and multi-mode thermal insulation group,with 40 cases in each group.The control group used physical insulation,and the multi-mode thermal insulation group used infusion heating instrument and inflatable heating system.The changes of nasopharyngeal body temperature in the two groups were observed at different time points,and the basic information,operation time,intake and output volume,intraoperative anesthetic dosage and postoperative complications of the two groups were recorded.Postoperative delirium assessment method was used to evaluate postoperative delirium in the two groups.Results The time of extubation and PACU residence in the multi-mode thermal insulation group were shorter than those in the control group,the differences were statistically significant(P＜0.05).After anesthesia induction,the body temperature in the anesthesia maintenance period gradually decreased,and the nasopharyngeal temperature of patients in the multi-mode thermal insulation group at T5-T7 and the nasopharyngeal temperature of control group at T4-T7 were lower than that at T0,with statistical significances(P＜0.05).The incidence of intraoperative hypothermia in the multi-mode thermal insulation was lower than that in the control group,and the difference was statistically significant (P＜0.05).The incidence of postoperative delirium in multi-mode thermal insulation was lower than that in control group,and the difference was statistically significant (P＜0.05).There were no significant differences in the onset and duration of postoperative delirium between the two groups(P＞0.05).Conclusion Multi-mode thermal insulation in perioperative period can reduce the incidences of intraoperative hypothermia and postoperative delirium in elderly patients after prolonged operation.

Key words： Hypothermia Elderly Postoperative delirium Thermal insulation

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