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目的比较灌洗液加温与充气温毯体温保护对老年患者前列腺电切手术中体温的影响。方法选择ASAⅡ~Ⅲ级在全麻下行前列腺电切手术老年患者60例为研究对象,随机分为3组(每组各20例),保温组1,术中输注37℃灌洗液;保温组2,充气温毯体温保护,术中输注室温(23~25℃)灌洗液;对照组接受室温灌洗液。结果 3组患者年龄、体重、ASA分级、前列腺大小、手术时间、灌洗液体总量等一般资料比较差异均无统计学意义(P>0.05);3组患者术前血压和心率之间差异无统计学意义(P>0.05),术毕时对照组血压显著低于术前;3组患者术前体温和寒战的发生率差异均无统计学意义(P>0.05),术毕时保温组2和对照组患者体温均显著下降,寒战发生率显著升高。结论 TURP术中灌洗液加温的保温措施显著好于充气温毯体温保护措施。
Objective To compare the effects of warm perfusion fluid warming and warm blanket warming on body temperature in elderly patients undergoing prostatectomy. Methods Sixty ASA Ⅱ ~ Ⅲ elderly patients undergoing prostatectomy under general anesthesia were divided into three groups (20 in each group). The patients in the heat preservation group received intraoperative infusion of 37 ℃ lavage fluid. Group 2, inflatable warm blanket body temperature protection, intraoperative infusion of room temperature (23 ~ 25 ℃) lavage fluid; control group received room temperature lavage fluid. Results There were no significant differences in general data such as age, weight, ASA grade, prostate size, operation time and total amount of lavage fluid among the three groups (P> 0.05). There was no significant difference in preoperative blood pressure and heart rate between the three groups (P> 0.05). The blood pressure of the control group was significantly lower than that before operation at the end of operation. There was no significant difference in preoperative body temperature and chills between the three groups (P> 0.05) Compared with the control group, the body temperature decreased significantly, and the incidence of chills increased significantly. Conclusion TURP intraoperative lavage fluid warming insulation measures significantly better than the inflatable warm blanket body temperature protection measures.