充气式保温毯上半身加温对侧卧位胸腔镜手术患者的影响

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Abstract Objective To approach influence of lateral decubitus thoracoscopic surgery patients by inflatable insulation blanket in warming up the upper body. Methods A total of 256 patients who underwent thoracoscopic surgery in lateral decubitus position from February 2018 to January 2021 in Quzhou People’s Hospital, Zhejiang Province were selected as the study subjects, they were divided into control group and observation group according to random number table method, with 128 cases in each group. Inflatable insulation blanket was used to warm the lower part in the control group and inflatable insulation blanket was used to worm the upper part in the observation group. Body temperature, stress response, at different time points postoperative recovery time and incidence of adverse reactions were observed in two groups. Results The body temperature of two group patients into the operating room, at the beginning of operation were compared, and the difference was no statistical significance (P ＞ 0.05), the body temperature of the observation group was higher than that of the control group at 60 min after surgery, at the end of surgery and after anesthesia, the differences were statistically significant (P ＜ 0.05). There were statistically significant differences between groups, time points and interaction (P ＜ 0.05). Comparison of serum cortisol (Cor) between the two groups at the beginnig of the operation, 30 min of operation, 72 h after surger, the differences was statistically significant (P ＜ 0.05). Cor in the observation group was lower than those in the control group 30 min and 72 h after surgery, the differences was statistically significant (P ＜ 0.05). The time of tracheal extubation and thoracic drainage tube extubation in the observation group were shorter than those in the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of intraoperative hypothermia and postoperative chills in the observation group was lower than that in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Inflatable blanket upper body heating can improve recovery efficiency and reduce the incidence of hypothermia and chills when applied to patients with lateral assisted thoracoscopic surgery.

Key words： Inflatable insulation blanket Warming up the upper body Lateral decubitus thoracoscopic surgery Intraoperative hypothermia Postoperative shivering

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	XU Yu

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XU Yu. Effect of inflatable insulation blanket warming up the apper body in patients undergoing thoracoscopic surgery in lateral decubial position#br#[J]. 中国医药导报, 2022, 19(6): 167-170.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I6/167

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