摘要
目的探讨前列腺气化电切手术(TURP)术中不同体温对老年患者术后谵妄的影响。方法选择我院2017年1月—2018年1月拟行TURP手术的老年患者80例,按照随机数字表法均分为室温组和加温组,各40例。两组均给予喉罩全麻,均给予常规保温措施,室温组的膀胱冲洗液和静脉输注液均为室温液(25℃),加温组的膀胱冲洗液和静脉输注液均为加温液(37℃),术中连续测量两组患者术中的鼻咽温度,记录患者术后谵妄和寒颤发生情况。结果室温组术后鼻咽温度为(34.52±0.23)℃,低于加温组的(36.29±0.28)℃(P<0.05)。加温组寒颤和谵妄发生率分别为10.00%、7.50%,低于室温组的55.00%、27.50%(P <0.05)。结论在TURP手术,给予老年患者加温保护措施有助于维持患者鼻咽温度,减少术后寒颤和谵妄发生率。
Objective To investigate the effects of different body temperature during postoperative prostate gastrectomy(TURP) on postoperative delirium in elderly patients. Methods 80 patients who underwent TURP surgery from January 2017 to January 2018 in our hospital were divided into room temperature group and heating group according to the random number table method, 40 cases in each group. Both groups were given general anesthesia in the laryngeal mask. All routine warming measures were given. The bladder flushing solution and intravenous infusion solution in the room temperature group were both room temperature solution(25 ℃), the bladder rinse and intravenous infusion of the warming group were treated by heating(37 ℃), intraoperative nasopharynx temperature was measured continuously in the two groups, and postoperative delirium and chills were recorded. Results The postoperative nasopharyngeal temperature was(34.52±0.23)℃ in the room temperature group, which was significantly lower than(36.29±0.28) ℃ in the warming group(P < 0.05). The incidence of chills and delirium in the warming group were 10.00% and 7.50%, respectively, which were significantly lower than 55.00% and 27.50% of the control group(P < 0.05). Conclusion During TURP surgery, warming protection measures for elderly patients help maintain the patient's nasopharyngeal temperature and reduce the incidence of postoperative chills and delirium.
引文
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