文章摘要

体温保护在经左胸食道癌根治术患者中的应用

作者: 1庄晴, 1董楠
1 江南大学附属医院麻醉科,江苏 无锡 214000
通讯: 庄晴 Email: zmzq1982@sina.com
DOI: 10.3978/j.issn.2095-6959.2021.09.006
基金: 无锡市卫健委科技成果与适宜技术推广项目(T201908)。

摘要

目的:对经左胸食道癌根治术患者体温保护措施的应用价值进行分析。方法:选择2019年1月至12月于江南大学附属医院全麻下行经左胸食道癌根治术的40例患者作为研究对象,随机分为实验组与对照组,对照组患者常规干预,实验组患者接受体温保护干预,观察两组各时间点鼻咽温度、拔管时间、动脉血气乳酸值和并发症发生情况。结果:实验组手术1 h后的各项体温、拔管时间、拔管时乳酸与对照组的差异均有统计学意义(均P<0.05)。结论:体温保护对经左胸食道癌根治术患者苏醒及微循环具有较好的临床应用价值。
关键词: 体温保护;经左胸食道癌根治术;低体温

Application of body temperature protection in patients undergoing left sided transthoracic resection of esophageal cancer

Authors: 1ZHUANG Qing, 1DONG Nan
1 Department of Anesthesiology, Affiliated Hospital of Jiangnan University, Wuxi Jiangsu 214000, China

CorrespondingAuthor: ZHUANG Qing Email: zmzq1982@sina.com

DOI: 10.3978/j.issn.2095-6959.2021.09.006

Foundation: This work was supported by the Scientific and Technological Achievements and Appropriate Technology Promotion Project of Wuxi Health Commission, China (T201908).

Abstract

Objective: To analyze the application value of body temperature protection measures for patients undergoing trans-left-chest surgery for esophageal cancer. Methods: A total of 40 patients undergoing left sided trans-thoracic radical resection of esophageal cancer under general anesthesia in the Affiliated Hospital of Jiangnan University from January to December 2019 were selected as the subjects for this study. They were randomly divided into an experimental group (who received intervention with body temperature protection) and a control group (who received routine intervention). The nasopharyngeal temperature, extubation time, lactic acid value in arterial blood gases, and the incidence of complications at each time point were observed for both groups. Results: Various body temperatures at 1 h postoperatively, extubation time, and lactic acid at extubation showed statistically significant differences between the experimental group and the control group (P<0.05). Conclusion: Body temperature protection presents good clinical application value for palinesthesia and microcirculation following trans-left-chest surgery for esophageal cancer.
Keywords: body temperature protection; left sided trans-thoracic radical resection of esophageal cancer; hypothermia

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