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目的观察冲洗液温度对前列腺电切患者体温的影响。方法将60例前列腺电切患者随机分为试验组和对照组各30例,试验组患者均使用37℃加温冲洗液,对照组患者使用室温(24℃)冲洗液,分别在手术开始时、使用不同量的冲洗液后监测2组患者体温变化以及观察术后有无寒战表现。结果从手术开始时到冲洗液灌入2 000 ml时2组体温比较差异无统计学意义(P>0.05);从冲洗液灌入3 000 ml至手术结束,试验组的体温高于对照组,差异均有统计学意义(P<0.05或P<0.01)。手术结束时试验组有寒战发生率为10.00%(3/30)低于对照组的80.00%,差异有统计学意义(χ~2=10.909,P<0.01)。结论使用加温冲洗液可有效防止前列腺电切患者低体温的发生,并减少术后寒战发生,提高患者舒适度。
Objective To observe the effect of irrigation fluid temperature on the temperature of patients with prostatectomy. Methods Sixty patients with prostate resection were randomly divided into experimental group and control group, with 30 cases in each group. All patients in the experimental group were treated with 37 ℃ warming fluid, while those in control group were treated with room temperature (24 ℃) After using different amount of flushing fluid, the changes of body temperature in two groups were monitored and the chills were observed after operation. Results There was no significant difference in body temperature between the two groups (P> 0.05) from the beginning of the operation to the injection of 200 ml of irrigating solution. The body temperature of the test group was higher than that of the control group when the irrigating solution was poured into 3 000 ml to the end of the operation. The differences were statistically significant (P <0.05 or P <0.01). At the end of surgery, the incidence of chills was 10.00% (3/30) in the test group, which was lower than 80.00% in the control group (χ ~ 2 = 10.909, P <0.01). Conclusion The use of warming rinse solution can effectively prevent the occurrence of hypothermia in patients with prostatectomy and reduce postoperative chills and improve patient comfort.