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| Influencing factors of resuscitation time in patients undergoing ileal bladder replacement surgery for bladder cancer#br# |
| WAN Qin LUO Lili WANG Hen YIN Xiaorong▲ |
| Department of Anesthesiology, West China Hospital of Sichuan University West China School of Nursing, Sichuan University, Sichuan Province, Chengdu 610000, China |
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Abstract Objective To analyze the influencing factors of resuscitation time in patients undergoing ileal bladder replacement surgery for bladder cancer. Methods A retrospective analysis was performed on the clinical data of 408 patients with bladder cancer who underwent ileal bladder replacement surgery in West China Hospital of Sichuan University from March 2018 to December 2020. The data of all patients were complete, the resuscitation time of all patients was counted, and the baseline data filling form was designed to fill in the baseline data of patients in detail. The resuscitation time of patients resuscitated after ileal bladder replacement surgery for bladder cancer was compared with different data characteristics, and the influencing factors of resuscitation time of patients resuscitated after ileal bladder replacement surgery for bladder cancer were analyzed. Results The resuscitation time of 408 patients with bladder cancer after ileal bladder replacement was (65.19±8.33) min. The resuscitation time of patients with intraoperative hypothermia was longer than that of patients without intraoperative hypothermia, the difference was statistically significant (P ＜ 0.05). Comparison of other data between patients with intraoperative hypothermia and patients without intraoperative hypothermia showed no statistical significance (P ＞ 0.05). The average operation time of 408 patients was (4.83±1.10) h; the average intraoperative dosage of propofol was (135.31±20.15) ml, and the average intraoperative infusion volume was (3365.38±235.41) ml. Multiple linear regression analysis showed that long operation time (X1), intraoperative hypothermia (X2), large amount of propofol (X3) and large amount of infusion (X4) were the influencing factors for the resuscitation time of patients undergoing ileal bladder replacement surgery for bladder cancer (P ＜ 0.05). The equation was obtained as Y = 97.809+ 2.820X1-2.141X2 + 0.005X3 + 0.007X4. The F value of the regression model was 31.724, R2 was 0.239, and R2 after adjustment was 0.232. Conclusion The resuscitation time of patients undergoing ileal bladder replacement surgery for bladder cancer is longer, which may be related to the operation time, intraoperative propofol dosage, intraoperative infusion volume and intraoperative hypothermia.
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