Ma He, Lai Bingjie, Dong Shanshan, Li Xinyu, Cui Yunfeng, Sun Qianchuang, Liu Wenhua, Jiang Wei, Xu Feng, Lv Hui, Han Hongyu, Pan Zhenxiang
Department of Anesthesiology Intensive Care Unit, The Second Hospital of Jilin University Department of Spine Surgery, The First Hospital of Jilin University, Changchun, P. R. China.
Medicine (Baltimore). 2017 Mar;96(13):e6490. doi: 10.1097/MD.0000000000006490.
This prospective, randomized, and controlled study was performed to determine the benefits of prewarmed infusion in elderly patients who underwent bilateral hip replacement.
Between September 2015 and April 2016, elderly patients who underwent bilateral hips replacement that met the inclusion and exclusion criteria were included in this study. After inclusion, patients were randomized into one of the study groups: in the control group, patients received an infusion of fluid kept at room temperature (22-23°C); in the warming infusion group, patients received an infusion of fluid warmed using an infusion fluid heating apparatus (35°C). Postoperative outcomes, including recovery time, length of hospital stay, visual analogue scale (VAS) score, and postoperative complications rate of patients from both groups, were compared.
A total of 64 patients were included in our study (71.2 ± 7.6 years, 53.1% males), with 32 patients in the control group and 32 patients in warming infusion group. No significant difference was found in terms of demographic data and intraoperative blood transfusion rate between 2 groups (P > 0.05). Patients receiving a prewarmed infusion had a significantly shorter time to spontaneous breath, eye opening, consciousness recovery, and extubation than the control group (P < 0.05). In addition, significant differences were found in Steward score and VAS score between 2 groups (P < 0.05). Moreover, warming infusion group also showed an obviously decreased incidence of shivering and postoperative cognitive dysfunction (P < 0.05).
A prewarmed infusion could reduce the incidence of perioperative hypothermia and improve outcomes in the elderly during bilateral hip replacement.
本前瞻性、随机对照研究旨在确定预温输注对接受双侧髋关节置换术的老年患者的益处。
2015年9月至2016年4月期间，纳入符合纳入和排除标准的接受双侧髋关节置换术的老年患者。纳入后，患者被随机分为其中一个研究组：在对照组中，患者接受室温（22-23°C）保存的液体输注；在预温输注组中，患者接受使用输液加热装置加热至35°C的液体输注。比较两组患者的术后恢复时间、住院时间、视觉模拟评分（VAS）得分以及术后并发症发生率等术后结果。
本研究共纳入64例患者（年龄71.2±7.6岁，男性占53.1%），其中对照组32例，预温输注组32例。两组患者的人口统计学数据和术中输血率无显著差异（P>0.05）。接受预温输注的患者自主呼吸恢复时间、睁眼时间、意识恢复时间和拔管时间均显著短于对照组（P<0.05）。此外，两组患者的Steward评分和VAS评分也存在显著差异（P<0.05）。而且，预温输注组的寒战和术后认知功能障碍发生率也明显降低（P<0.05）。
预温输注可降低双侧髋关节置换术老年患者围手术期低体温的发生率并改善预后。
