Application of congenital giant colon surgery in peritoneoscope by perioperative integrated insulation mode
CAO Jingqin1 TANG Qiaoli1 CAI Congcong2
1.Ward Two of Paediatric Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China;
2.the Operation Room, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
Abstract：Objective To approach result of congenital giant colon surgery in peritoneoscope by perioperative integrated insulation mode. Methods The clinical data of 140 congenital giant colon surgery children in Xinhua Hospital Affiliated to Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine from October 2016 to October 2018 were analyzed, which was to be divided into two groups by random paper method, control group and detection group, with 70 cases in each group. The control group was given routine thermal insulation nursing measures, and the observation group was given perioperative integrated thermal insulation mode on the basis of the control group. The central body temperature, oxygen saturation (SpO2), bispectralindex (BIS), end-tidal carbon dioxide partial pressure (PetCO2), heart rate (HR) of children in two groups were detected at the time of entering the operating room (T1), 30 min (T2) after anesthesia, 60 min (T3), 90 min (T4), and end of operation (T5), the untoward reaction rate of children in two groups were detected, the family cooperation and satisfaction of children in two groups were compared. Results There was no statistical significance in the comparison of the central body temperature of children in detection group and BIS in control group, SpO2, HR or PetCO2 of children in two groups, the comparison of SpO2, PetCO2 of children between two groups at T1-T5 (P > 0.05); the BIS of children in detection group at T4, T5 were higher than those at T2, T3, and the control group at the same time point, the differences were statistically significant (P < 0.05). There was no statistically significant difference in central body temperature, BIS or HR at T1-T3 between two groups (P > 0.05); the central body temperature of children in control group lower at T4, and T5 was the minimize, the central body temperature of children in detection group at T4 and T5 time point were higher than control group, and the HR was lower than the control group, the differences were statistical significance (P < 0.05). The incidence of recovery time extended, shiver, local pressure injury, hypoxemia rate of detection group children was lower than control group, the family cooperation and satisfaction of children in detection group were higher than control group, the differences were statistical significance (P < 0.05). Conclusion The application of congenital giant colon surgery in peritoneoscope by perioperative integrated insulation mode, which could decrease hypothermia rate, cut down wake up time, decrease complications rate, it is worth to be used.
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2019, Vol. 16 
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