Baradaranfard Fereshteh, Jabalameli Mitra, Ghadami Ahmad, Aarabi Akram
J Perianesth Nurs. 2019 Oct;34(5):1016-1024. doi: 10.1016/j.jopan.2018.11.013. Epub 2019 Mar 14.
The present study aimed to evaluate the impact of warming on physiological indices of patients undergoing laparoscopic cholecystectomy.
The study was a three-group randomized controlled clinical trial.
In the present study, 96 patients were assigned to three groups: forced-air warming system group; warmed intravenous fluid group; and control group. The intervention was performed immediately after the anesthesia induction. Physiological indices (core body temperature, blood pressure, and heart rate) were evaluated at 15-minute intervals, and postoperative shivering was also recorded.
The mean systolic blood pressure and the mean heart rate were significantly different in each warming group before, during, and after surgery, but the three groups had no significant differences in terms of physiological indices at any time (P > .05). Postoperative shivering was not seen in any group.
Both interventions had similar effects on physiological indices. Therefore, the recommendation is to use the warming method according to patient's other conditions.
本研究旨在评估保暖对接受腹腔镜胆囊切除术患者生理指标的影响。
该研究为三组随机对照临床试验。
在本研究中，96例患者被分为三组：强制空气加温系统组；加温静脉输液组；以及对照组。干预在麻醉诱导后立即进行。每隔15分钟评估生理指标（核心体温、血压和心率），并记录术后寒战情况。
各保暖组在手术前、手术期间和手术后的平均收缩压和平均心率有显著差异，但三组在任何时候的生理指标均无显著差异（P>.05）。任何组均未出现术后寒战。
两种干预措施对生理指标的影响相似。因此，建议根据患者的其他情况选择保暖方法。
