Chalari Eleftheria, Intas George, Zyga Sofia, Fildissis Georgios, Tolia Maria, Toutziaris Chrysovalantis, Tsoukalas Nikolaos, Kyrgias George, Panoutsopoulos Georgios
1 General Hospital of Nikaia Agios Panteleimon, Nikaia, Greece.
2 Faculty of Nursing, University of Peloponnese, Sparta, Greece.
Urologia. 2019 May;86(2):69-73. doi: 10.1177/0391560318758937. Epub 2018 Mar 28.
The purpose of the study was to investigate the incidence of perioperative hypothermia in urology patients undergoing transurethral resection with either TURis or transurethral resection of the prostate method and to recognize the risk factors that were responsible for the occurrence of hypothermia intraoperatively in these patients.
It was a randomized prospective study. A total of 168 patients, according to American Society of Anesthesiologists physical status I-III, were scheduled for transurethral resection either with TURis or transurethral resection of the prostate method. We measured the core body temperature before (preoperative), during (perioperative) and after (postoperative) the surgery. Age, body mass index, American Society of Anesthesiologists score, duration of surgery, preoperative prostatic volume, and vital signs were also recorded.
The prevalence of inadvertent hypothermia was 64.1% for the TURis group and 60% for the transurethral resection of the prostate group. Hypothermic patients in TURis group were significantly older (87.7 ± 1.7 vs 68 ± 6.7 years, p < 0.05) and had lower body mass index (26.9 ± 3.6 vs 29.2 ± 2.7, p < 0.05), while hypothermic patients in the transurethral resection of the prostate group were significantly older (86 ± 1.1 vs 70 ± 7.4 years, p < 0.05) and had notably higher duration of surgery (140.6 ± 28.9 vs 120.3 ± 14.3 min, p < 0.05) than normothermic patients.
Perioperative inadvertent hypothermia among urology patients who underwent transurethral resection with both TURis and transurethral resection of the prostate method is of high incidence. We recommend monitoring of the temperature of core body of all these patients, especially those with advanced age and lower body mass index.
本研究旨在调查接受经尿道前列腺汽化切除术（TURis）或经尿道前列腺切除术的泌尿外科患者围手术期体温过低的发生率，并识别导致这些患者术中体温过低的危险因素。
这是一项随机前瞻性研究。根据美国麻醉医师协会身体状况分级I - III级，共有168例患者计划接受TURis或经尿道前列腺切除术。我们在手术前（术前）、手术期间（围手术期）和手术后（术后）测量了核心体温。还记录了年龄、体重指数、美国麻醉医师协会评分、手术持续时间、术前前列腺体积和生命体征。
TURis组意外体温过低的发生率为64.1%，经尿道前列腺切除术组为60%。TURis组体温过低的患者年龄显著更大（87.7 ± 1.7岁 vs 68 ± 6.7岁，p < 0.05）且体重指数更低（26.9 ± 3.6 vs 29.2 ± 2.7，p < 0.05），而经尿道前列腺切除术组体温过低的患者年龄显著更大（86 ± 1.1岁 vs 70 ± 7.4岁，p < 0.05）且手术持续时间明显更长（140.6 ± 28.9分钟 vs 120.3 ± 14.3分钟，p < 0.05）。
接受TURis和经尿道前列腺切除术的泌尿外科患者围手术期意外体温过低的发生率很高。我们建议对所有这些患者，尤其是年龄较大和体重指数较低的患者监测核心体温。
