多元化体温保护策略对智能监控肾盂内压输尿管软镜吸引取石术患者内稳态及复苏质量的影响(1)
摘 要：目的 探討围术期多元化体温保护策略对智能监控肾盂内压输尿管软镜吸引取石术患者内稳态及复苏质量的影响。方法 选择2017年2月～2018年3月赣州市人民医院择期行输尿管软镜吸引取石术手术患者60例，数字随机法分为两组，每组30例。D组多元化体温保护组，C组常规体温保护组，记录患者在麻醉诱导前(T0)，手术开始即刻(T1)、手术开始后30min(T2)、术毕即刻(T3)、清醒拔管即刻(T4)时间点的鼻咽温度值。分别于T0、T2、T4时间点采集桡动脉血测定血乳酸含量及碱剩余值。观察并记录患者麻醉复苏情况及术后24 h内并发症发生情况。结果 与T0时比较，T1 ～T4时C组的鼻咽温降低，差异有统计学意义(P<0.05)，D组无明显变化；D 组在T1～T4 时的鼻咽温，高于C组，差异有统计学意义(P<0.05)；C组在麻醉诱导后各时间点碱剩余值低于诱导前，乳酸高于麻醉诱导前；而D组与麻醉诱导前比较无统计学意义；D组患者苏醒时间及复苏室离室时间短于C组，差异有统计学意义(P<0.05)，D组术后24 h内并发症发生率，低于C组，差异有统计学意义(P<0.05)。结论 在智能监控肾盂内压输尿管软镜吸引取石术患者围术期中，采用多元化体温保护策略可保护患者体温、维持内环境稳定，提高患者术后复苏质量，减少术后并发症发生，从而促进患者加速康复。
, 百拇医药
关键词：体温保护；肾盂内压；输尿管软镜；内稳态；麻醉复苏
中图分类号：R616.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.13.028
文章编号：1006-1959(2018)13-0098-03
Abstract：Objective To investigate the effect of perioperative multi body temperature protection strategy on the homeostasis and resuscitation quality of patients with flexible ureteroscopy under ureteroscope.Methods From February 2017 to March 2018，60 patients with ureteral soft-lens-assisted stone surgery were selected from the People's Hospital of Ganzhou city.The digital randomization method was divided into two groups，30 in each group.Group D diversified body temperature protection group，group C routine body temperature protection group，recorded patients before anesthesia induction(T0)，immediate start of surgery(T1)，30 minutes after surgery(T2)，immediately after surgery(T3)，the value of the nasopharyngeal temperature at the time of awake extubation immediately (T4).Radial arterial blood was collected at T0，T2，and T4 time points to determine blood lactate content and residual alkali value. Observe and record the patient's anesthesia recovery and complications within 24 hours after surgery.Results Compared with T0，the nasopharyngeal temperature of group C decreased from T1 to T4，the difference was statistically significant(P<0.05)，and there was no significant change in group D.The nasopharyngeal temperature of group D was higher than that of group C at T1～T4，the difference was statistically significant(P<0.05).In group C，the residual value of alkali after induction of anesthesia was lower than that before induction，and lactic acid was higher than that before induction of anesthesia；while group D had no statistical significance before induction of anesthesia；the recovery time of the patients in group D and the time of resignation in the resuscitation room were shorter than those in group C，the difference was statistically significant(P<0.05).The incidence of complications within 24 hours after operation in group D was lower than that in group C，the difference was statistically significant(P<0.05).Conclusion In the perioperative period of intelligent monitoring of ureteroscopy in patients with internal pressure ureteroscopy，a variety of temperature protection strategies can be used to protect the patient's temperature and maintain the stability of the internal environment，improve the quality of postoperative recovery and reduce postoperative complications，thus promoting the patient to accelerate the rehabilitation., 百拇医药(陈以建 梁洁娴 李海林 钟宝林)
, 百拇医药
关键词：体温保护；肾盂内压；输尿管软镜；内稳态；麻醉复苏
中图分类号：R616.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.13.028
文章编号：1006-1959(2018)13-0098-03
Abstract：Objective To investigate the effect of perioperative multi body temperature protection strategy on the homeostasis and resuscitation quality of patients with flexible ureteroscopy under ureteroscope.Methods From February 2017 to March 2018，60 patients with ureteral soft-lens-assisted stone surgery were selected from the People's Hospital of Ganzhou city.The digital randomization method was divided into two groups，30 in each group.Group D diversified body temperature protection group，group C routine body temperature protection group，recorded patients before anesthesia induction(T0)，immediate start of surgery(T1)，30 minutes after surgery(T2)，immediately after surgery(T3)，the value of the nasopharyngeal temperature at the time of awake extubation immediately (T4).Radial arterial blood was collected at T0，T2，and T4 time points to determine blood lactate content and residual alkali value. Observe and record the patient's anesthesia recovery and complications within 24 hours after surgery.Results Compared with T0，the nasopharyngeal temperature of group C decreased from T1 to T4，the difference was statistically significant(P<0.05)，and there was no significant change in group D.The nasopharyngeal temperature of group D was higher than that of group C at T1～T4，the difference was statistically significant(P<0.05).In group C，the residual value of alkali after induction of anesthesia was lower than that before induction，and lactic acid was higher than that before induction of anesthesia；while group D had no statistical significance before induction of anesthesia；the recovery time of the patients in group D and the time of resignation in the resuscitation room were shorter than those in group C，the difference was statistically significant(P<0.05).The incidence of complications within 24 hours after operation in group D was lower than that in group C，the difference was statistically significant(P<0.05).Conclusion In the perioperative period of intelligent monitoring of ureteroscopy in patients with internal pressure ureteroscopy，a variety of temperature protection strategies can be used to protect the patient's temperature and maintain the stability of the internal environment，improve the quality of postoperative recovery and reduce postoperative complications，thus promoting the patient to accelerate the rehabilitation., 百拇医药(陈以建 梁洁娴 李海林 钟宝林)