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| Effect of seamless overall intervention on intraoperative hypothermia in patients undergoing laparoscopic surgery for cervical cancer |
| WANG Jingyun SONG Miao ZHANG Bin CHEN Jia ZHANG Qian▲ |
Department of Anesthesia Operating Room, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial People’s Hospital, Jiangsu Province, Nanjing 210000, China
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Abstract Objective To explore the effect of seamless overall intervention on intraoperative hypothermia in patients undergoing laparoscopic surgery for cervical cancer. Methods A total of 138 patients with cervical cancer who received extensive laparoscopic hysterectomy plus pelvic lymph node dissection in Jiangsu Provincial People’s Hospital from January 2020 to December 2021 were selected, according to random number table method, they were divided into study group and control group, with 69 cases in each group. The study group received seamless holistic care, and the control group received routine care. Intraoperative temperature changes, operation-related indexes and incidence of adverse events were compared between the two groups. Results There were statistically significant differences between the two groups in intraoperative temperature change, time point comparison and interaction (P＜0.05). Further pair-based comparison, intra-group comparison: the intraoperative body temperature of study group at 90 min was higher than that at 60 min after surgery, but lower than that at other time periods, and the highest body temperature at the end of surgery, the difference was statistically significant (P＜0.05); there was statistical significance in body temperature of control group at different time periods (P＜0.05). Comparison between groups: the body temperature of the study group was higher than that of the control group at 30, 60, 90 min， and after operation, the differences were statistically significant (P＜0.05). The postoperative resuscitation time and bowel sound recovery time of the study group were shorter than those of the control group, the differences were statistically significant (P＜0.05). The incidence of intraoperative hypothermia and postoperative chills and restlessness in the study group were lower than that in the control group, the differences were statistically significant (P＜0.05). Conclusion The implementation of seamless holistic nursing for patients undergoing cervical cancer surgery can help to maintain the body temperature level within the conventional range, reduce the risk of intraoperative hypothermia, chills and agitation during postoperative anesthesia recovery, and shorten the postoperative recovery time of recovery and bowel sounds.
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