一项前性随机研究,研究了在接受腹腔镜胃切除术的患者中持续主动升温的疗效
Mengjia Luo1,2, Yanran Dai1, Xiangying Feng1
1Department of Gastrointestinal Surgery, Xijing Hospital, Air Force Military Medical University, Xi'an, Shaanxi, China.
BMC gastroenterology
|March 15, 2025
概括
连续主动加热 (CAW) 在腹腔镜胃切除术患者中显著降低了手术期间的低温. 这种方法还可以改善术后恢复,减少和疼痛.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
- 关键护理医学 关键护理医学
背景情况:
- 有限的随机对照试验 (RCT) 存在于腹腔镜胃切除术中持续活性升温 (CAW) 疗效.
- 在这些程序中,手术期间的低温和临床康复是关键问题.
研究的目的:
- 为了比较持续活跃加热 (CAW) 和体温低于36°C (BAW) 的活跃加热之间的手术内低温的发生率.
- 评估CAW与BAW对腹腔镜胃切除术后临床康复的影响.
主要方法:
- 一项前性随机受控试验,涉及62名接受选择性全腹腔镜激进胃切除术的患者.
- 患者被分配到当体温下降到36°C以下时启动的即时CAW或BAW.
- 膀温度每30分钟监测一次;统计分析包括ANOVA和t测试.
主要成果:
- 整体低温的发生率为16.13%.
- 与BAW组相比,CAW组的发率 (3.23%) 和动荡率 (3.23%) 显着较低 (分别为32.26%和29.03%).
- CAW 缩短了气管输出,第一个术后浮和术后疼痛的时间.
结论:
- 连续主动加热 (CAW) 有效地降低了腹腔镜胃切除术期间的手术内低温.
- CAW促进了更好的术后康复,包括减少并发症和更快的恢复.
更多相关视频
05:43Author Spotlight: Improving Lesion Contiguity in Pulmonary Vein Isolation via Proactive Esophageal Cooling
Published on: April 19, 2024
915
06:25Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation
Published on: March 15, 2020
9.3K
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39
Decreased Body Temperature
599
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
599
Peptic Ulcer Disease V: Surgical Management and Nursing Care
192
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
192
