Volume 23 Issue 4
Apr.  2025
Turn off MathJax
Article Contents
ZHANG Tiantian, CHEN Ruizhe, BAO Yingxue. Effect of '4 + 3' warm chain dynamic body temperature management combined with family language awakening on patients undergoing thoracoscopic lung surgery[J]. Chinese Journal of General Practice, 2025, 23(4): 584-587. doi: 10.16766/j.cnki.issn.1674-4152.003956
Citation: ZHANG Tiantian, CHEN Ruizhe, BAO Yingxue. Effect of "4 + 3" warm chain dynamic body temperature management combined with family language awakening on patients undergoing thoracoscopic lung surgery[J]. Chinese Journal of General Practice, 2025, 23(4): 584-587. doi: 10.16766/j.cnki.issn.1674-4152.003956

Effect of "4 + 3" warm chain dynamic body temperature management combined with family language awakening on patients undergoing thoracoscopic lung surgery

doi: 10.16766/j.cnki.issn.1674-4152.003956
Funds:

 HLKY202204

 2022KY496

  • Received Date: 2024-09-28
    Available Online: 2025-06-30
  •   Objective  To explore the effect of "4+3" warm chain dynamic body temperature management combined with relatives' language awakening on thoracoscopic lung surgery patients under general anesthesia, and to provide a reference for clinical construction of a more perfect perioperative intervention plan.  Methods  From January 2023 to January 2024, 109 patients undergoing thoracoscopic lung surgery under general anesthesia in the First Affiliated Hospital of Wenzhou Medical University were selected and divided into control group and experimental group by random number table method, with 55 and 54 cases respectively. The control group took routine insulation measures in the operating room and woke up by medical staff, and the observation group used "4+3" warm chain dynamic body temperature management combined with relatives ' language to wake up. The temperature, anesthesia recovery, and incidence of adverse reactions of the two groups were compared at different time points.  Results  The body temperature of experimental groups at anesthesia induction (T1), 15 min after anesthesia induction (T2), 30 min after surgery (T3), 60 min after surgery (T4), 90 min after surgery (T5), after surgery (T6) and 10 min after entering anesthesia recovery room (T7) were all higher than those of the control group (P < 0.05). The recovery time of spontaneous consciousness was (15.88±3.24) min, the spontaneous breathing time was (6.44±2.10) min, and the retention time in the anesthesia recovery room was (21.24±4.13) min, which were lower than that of the control group [(22.56±2.78) min, (9.34±2.45) min, and (31.90±4.55) min (P < 0.05)], and the incidence of adverse reactions was 5.56% (3/54), which was lower than that of the control group [(18.18% (10/55), P < 0.05].  Conclusion  The "4+3" warm chain dynamic body temperature management combined with relatives' language awakening intervention can maintain the perioperative temperature stability of patients with thoracoscopic lung surgery under general anesthesia, promote anesthesia recovery, shorten the retention time in the resuscitation room, and reduce the incidence of adverse reactions.

     

  • loading
  • [1]
    OH Y J, JUN I J. The effect of brief warming during induction of general anesthesia and warmed intravenous fluid on intraoperative hypothermia in patients undergoing urologic surgery[J]. Medicina (Kaunas), 2024, 60(5): 747. DOI: 10.3390/medicina60050747.
    [2]
    MAI L, BOARDMAN G, ROBINSON K, et al. Postoperative hypothermia is associated with reduced length of stay in adult acute burn survivors[J]. Burns, 2024, 50(6): 1536-1543. doi: 10.1016/j.burns.2024.02.033
    [3]
    陈肖, 鲍映雪, 周月琴, 等. 复杂创伤患者手术治疗中浅表大血管保温技术联合保温护理的效果研究[J]. 中华全科医学, 2023, 21(10): 1798-1801, 1812. doi: 10.16766/j.cnki.issn.1674-4152.003227

    CHEN X, BAO Y X, ZHOU Y Q, et al. The effect of superficial large vessel warming technology combined with warming care in the surgical management of patients with complex trauma[J]. Chinese Journal of General Practice, 2023, 21(10): 1798-1801, 1812. doi: 10.16766/j.cnki.issn.1674-4152.003227
    [4]
    郭越, 段红霞, 王秀梅, 等. "5+4"暖链式动态管理方案在全身麻醉病人体温管理中的应用[J]. 护理研究, 2022, 36(17): 3167-3170. doi: 10.12102/j.issn.1009-6493.2022.17.030

    GUO Y, DUAN H X, WANG X M, et al. Application of "5+4" warm chain dynamic management scheme in temperature management of patients underwent general anesthesia[J]. Chinese Nursing Research, 2022, 36(17): 3167-3170. doi: 10.12102/j.issn.1009-6493.2022.17.030
    [5]
    王亚丰, 刘絮, 王蕾, 等. 专职护理小组配合语言唤醒用于全身麻醉老年骨科手术患者对术后早期认知功能的影响[J]. 实用医院临床杂志, 2023, 20(3): 96-100.

    WANG Y F, LIU X, WANG L, et al. The effects of professional nursing group combined with language arousal on early postoperative cognitive function in elderly patients after orthopedic surgery under general anesthesia[J]. Practical Journal of Clinical Medicine, 2023, 20(3): 96-100.
    [6]
    常晓华, 关丽娜, 李丹, 等. 父母陪伴下多元化兴趣诱导联合语言唤醒对腹股沟斜疝患儿麻醉配合度、焦虑及苏醒的影响[J]. 国际精神病学杂志, 2022, 49(1): 168-171.

    CHANG X H, GUAN L N, LI D, et al. Effects of multiple interest induction combined with verbal arousal in the company of parents on the degree of anesthesia coordination, anxiety and recovery of children with indirect inguinal hernia[J]. Journal of International Psychiatry, 2022, 49(1): 168-171.
    [7]
    肖文, 董河, 黄辉, 等. 不同保温措施对腹腔镜手术中小儿体温的影响[J]. 青岛大学学报(医学版), 2020, 56(6): 653-656.

    XIAO W, DONG H, HUANG H, et al. Effect of different thermal insulation measures on body temperature of children undergoing laparoscopic surgery[J]. Journal of Qingdao University(Medical Sciences), 2020, 56(6): 653-656.
    [8]
    QIAN M, YE Y, ZHOU J. Effect of thermal insulation on preventing hypothermia during laparoscopic radical resection for colorectal cancer[J]. Am J Transl Re, 2024, 16(5): 2158-2165. doi: 10.62347/BKBY6649
    [9]
    陈岗, 张俊霞, 邓立琴, 等. 充气加温毯对腹腔镜结直肠癌根治性切除术老年患者术后恢复质量和认知恢复的影响[J]. 中华老年医学杂志, 2021, 40(10): 1299-1303.

    CHEN G, ZHANG J X, DENG L Q, et al. Effects of forced-air warming blanket on the quality of postoperative recovery and cognitive recovery in elderly patients undergoing laparoscopic radical resection of colorectal cancer[J]. Chinese Journal of Geriatrics, 2021, 40(10): 1299-1303.
    [10]
    孔青, 朱薇薇, 潘迎春. 麻醉恢复室低体温发生的危险因素及风险预测模型分析[J]. 护士进修杂志, 2021, 36(6): 563-566.

    KONG Q, ZHU W W, PAN Y C. Analysis of risk factors and risk prediction model of hypothermia in anesthesia recovery room[J]. Journal of Nurses Training, 2021, 36(6): 563-566.
    [11]
    毕志磊, 底瑞青, 李玲. 苏醒期保温护理联合语言唤醒对胸腔镜肺叶手术肺癌患者应激及复苏相关指标的影响研究[J]. 肿瘤基础与临床, 2024, 37(2): 212-215.

    BI Z L, DI R Q, LI L. Effect of thermal insulation nursing combined with language awakening on stress and resuscitation related indexes of lung cancer patients undergoing thoracoscopic lobar surgery[J]. Journal of Basic and Clinical Oncology, 2024, 37(2): 212-215.
    [12]
    楚宁. 语言唤醒护理在腹部手术全麻患者中的应用效果分析[J]. 临床医学工程, 2020, 27(7): 945-946.

    CHU N. Analysis on application effect of language arousal nursing in general anesthesia patients undergoing abdominal surgery[J]. Clinical Medicine & Engineering, 2020, 27(7): 945-946.
    [13]
    张丽花, 李德勇. 父母语音唤醒对全身麻醉患儿苏醒期躁动的影响[J]. 现代临床护理, 2020, 19(4): 21-24.

    ZHANG L H, LI D Y. Efficacy of parental calling for wake-up on children under general anesthesia during recovering period[J]. Modern Clinical Nursing, 2020, 19(4): 21-24.
    [14]
    王亚丰, 刘絮, 王蕾, 等. 专职护理小组配合语言唤醒用于全身麻醉老年骨科手术患者对术后早期认知功能的影响[J]. 实用医院临床杂志, 2023, 20(3): 96-100.

    WANG Y F, LIU X, WANG L, et al. The effects of professional nursing group combined with language arousal on early postoperative cognitive function in elderly patients after orthopedic surgery under general anesthesia[J]. Practical Journal of Clinical Medicine, 2023, 20(3): 96-100.
    [15]
    陈传枝, 侯晓敏. 音乐播放+语音唤醒在重症颅脑损伤患者全麻苏醒期中的应用观察[J]. 广州医科大学学报, 2020, 48(6): 65-67, 71.

    CHEN C Z, HOU X M. Use of music playback with voice awakening in patients with severe traumatic brain injury during recovery from general anesthesia[J]. Academic Journal of Guangzhou Medical University, 2020, 48(6): 65-67, 71.
    [16]
    许鹏珠, 史铁英, 刘常莉, 等. 配偶语音刺激对全身麻醉下行胸腰椎手术患者苏醒期的影响[J]. 中国实用护理杂志, 2020, 36(20): 1534-1541.

    XU P Z, SHI T Y, LIU C L, et al. Effect of spousal voice stimulation on the recovery period of patients undergoing thoracic/lumbar surgery under general anesthesia[J]. Chinese Journal of Practical Nursing, 2020, 36(20): 1534-1541.
    [17]
    朱莉, 马灵驭, 王甜. 体位管理联合亲情式语音唤醒服务对全麻手术患者术中压力性损伤和苏醒质量的影响[J]. 中国医药导报, 2023, 20(31): 193-196.

    ZHU L, MA L Y, WANG T. Impact of posture management combined with family friendly voice wake-up service on intraoperative stress injury and recovery quality in patients undergoing general anesthesia surgery[J]. China Medical Herald, 2023, 20(31): 193-196.
    [18]
    颜雨芹, 钱露露, 任映梅. 胸椎旁神经阻滞与硬膜外阻滞复合全身麻醉对胸腔手术围术期免疫及认知功能的影响[J]. 北京医学, 2023, 45(2): 173-176.

    YAN Y Q, QIAN L L, REN Y M, et al. The influence of thoracic paravertebral nerve block combined with epidural block and general anesthesia on the immune and cognitive functions during the perioperative period of thoracic surgery[J]. Beijing Medical Journal, 2023, 45(2): 173-176.
    [19]
    郑萍, 张正明, 余宗圣. 用熟悉的语言唤醒对全身麻醉患者苏醒质量的影响[J]. 江苏医药, 2021, 47(5): 506-508.

    ZHENG P, ZHNAG Z M, YU Z S. Effect of familiar language arousal on awakening quality of patients during recovery from general anesthesia[J]. Jiangsu Medical Journal, 2021, 47(5): 506-508.
    [20]
    杨延霞, 李芹, 杨林梅. 肺癌根治术全麻患者麻醉苏醒延迟的危险因素及护理对策[J]. 国际护理学杂志, 2022, 41(19): 3499-3503.

    YANG Y X, LI Q, YANG L M. Risk factors and nursing strategies of delayed anesthesia recovery in patients with lung cancer undergoing radical operation under general anesthesia[J]. International Journal of Nursing, 2022, 41(19): 3499-3503.
    [21]
    王婷, 王剑, 殷小容. 胸腹腔镜联合食管癌根治术患者麻醉苏醒期寒战的影响因素分析[J]. 重庆医学, 2024, 53(14): 2177-2181.

    WANG T, WANG J, DUAN X R. Influencing factors analysis of shivering during anesthetic recovery period in patients with thoracolaparoscopic combined esophageal cancer radical operation[J]. Chongqing Medicine, 2024, 53(14): 2177-2181.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (1) PDF downloads(1) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return