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肿瘤病人腔镜手术术中低体温发生率及其影响因素分析 预览

Analysis of incidence and influencing factors of hypothermia in cancer patients undergoing endoscopic surgery
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摘要 [目的]了解肿瘤病人腔镜手术术中低体温发生率,并分析其影响因素。[方法]记录2018年3月实施腔镜手术的100例肿瘤病人术中鼻咽部温度情况,并收集相关临床资料,应用单因素分析和多因素Logistic回归分析,探讨低体温发生的影响因素。[结果]100例肿瘤腔镜手术病人中有64例发生术中低体温;单因素分析显示发生低体温病人与未发生低体温组病人性别、年龄、体质指数(BMI)和手术部位比较差异有统计学意义(P<0.05);Logistic逐步向前回归分析显示,病人BMI和手术部位是术中低体温发生的独立影响因素。[结论]肿瘤病人腔镜手术术中低体温发生率高,多种原因可以引起术中低体温,手术室护士应加强围术期管理措施,术前、术中、术后采取主动被动综合措施以维持手术病人正常体温。 Objective:To understand the incidence of hypothermia during tumor endoscopic surgery,and to analyze the risk factors.Methods:The intraoperative nasopharyngeal temperature of 100 cancer patients undergoing endoscopic surgery in March 2018 was recorded,and relevant clinical data were collected.Univariate analysis and multivariate Logistic regression analysis were applied to explore the influencing factors of hypothermia.Results:Intraoperative hypothermia occurred in 64 of 100 patients undergoing endoscopic surgery(64%),univariate analysis showed statistically significant differences in gender,age,body mass index(BMI),and surgical site between the two groups(P<0.05).Logistic stepwise forward regression analysis showed that the BMI and surgical site were independent factors influencing the occurrence of intraoperative hypothermia.Conclusions:There is a high incidence of hypothermia in patients undergoing endoscopic surgery,and various causes can cause hypothermia during operation.Nurses in the operating room should strengthen perioperative management measures,active and passive measures should be taken so that maintain normal body temperature before,during and after surgery.
作者 卢秀英 郭秀兰 柳露 朱琳 曾维蓉 唐红华 LU Xiuying;GUO Xiulan;LIU Lu;ZHU Lin;ZENG Weirong;TANG Honghua(Sichuan Cancer Hospital,Sichuan 610041 China)
出处 《全科护理》 2019年第29期3607-3610,共4页 Chinese General Practice Nursing
关键词 肿瘤病人 胸腹腔镜 术中体温 cancer patient thoracic laparoscopy intraoperative hypothermia
作者简介 卢秀英,副主任护师,硕士,单位:610041,电子科技大学医学院附属肿瘤医院/四川省肿瘤医院。
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