Volume 22 Issue 10
Oct.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(10): 1687-1690
YANG Mingming, ZHU Qiuyan, GU Bin, WANG Luping. Analysis of the effect of comprehensive intervention measures in preventing hypothermia during laparoscopic rectal cancer surgery under deep muscle relaxation[J]. Chinese Journal of General Practice, 2024, 22(10): 1687-1690. doi: 10.16766/j.cnki.issn.1674-4152.003712
Citation: YANG Mingming, ZHU Qiuyan, GU Bin, WANG Luping. Analysis of the effect of comprehensive intervention measures in preventing hypothermia during laparoscopic rectal cancer surgery under deep muscle relaxation[J]. Chinese Journal of General Practice, 2024, 22(10): 1687-1690. doi: 10.16766/j.cnki.issn.1674-4152.003712
shu

Analysis of the effect of comprehensive intervention measures in preventing hypothermia during laparoscopic rectal cancer surgery under deep muscle relaxation

doi: 10.16766/j.cnki.issn.1674-4152.003712

  • Operating Room of Zhejiang Cancer Hospital, Hangzhou, Zhejiang 310022, China

Funds:

 2022KY694

  • Received Date: 2024-01-02
    Available Online: 2024-12-28
    Abstract
  •   Objective   To investigate the efficacy of comprehensive intervention measures in preventing intraoperative hypothermia in laparoscopic rectal cancer surgery under deep muscle relaxation.   Methods   A total of 120 patients with rectal cancer treated at Zhejiang Cancer Hospital between June 2022 and January 2023 were selected for inclusion in the research analysis. The subjects were randomly assigned to either the study group or the control group, with 60 cases in each group. The study group received comprehensive intervention measures, while the control group was administered routine heat preservation. The differences in intraoperative and postoperative recovery body temperature changes and other treatment-related variables were compared between the two groups.   Results   No significant differences were observed between the study group and the control group with regard to basic demographic characteristics, preoperative radiotherapy and chemotherapy, American society of aneshesiologists classification, total infusion volume, and urine volume (P>0.05). Following the administration of anaesthetic agents, a decline in core body temperature was observed in all patients. A statistically significant difference in body temperature was observed between the study group and the control group at various time points during the surgical procedure (P < 0.001). A significant difference in body temperature was observed between the study and control groups during the 0.5-3.0 h following surgery (P < 0.001). The overall trend for the core body temperature of all patients in the recovery room was an increase. A statistically significant difference was observed in body temperature between the study group and the control group at various time points during the postoperative recovery period (P < 0.001). At different time points within the postoperative recovery room, the body temperature of patients in the study group was found to be significantly higher than that of the control group (P < 0.001). Furthermore, the mean time to achieve an Aldrete score of 10 was significantly shorter in the study group than in the control group (P < 0.001). Nine patients in the control group exhibited chills, whereas only two patients in the study group did so.   Conclusion   The implementation of comprehensive intervention and nursing measures has been demonstrated to effectively prevent the incidence of hypothermia in patients undergoing deep muscle paralysis laparoscopic rectal cancer surgery, while also reducing the recovery time.

     

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