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机器人辅助根治性前列腺切除术期间温度链式管理方案的效果

The Effect of Temperature Chain Management Scheme During Robot-Assisted Radical Prostatectomy.

作者信息

Pan Lanxia, Chen Fengxia, Hu Jie, Zhang Yingying

机构信息

Nursing School, Henan University of Chinese Medicine, Zhengzhou, China.

Operating Room, The First Affiliated Hospital of Harbin Medical University, Harbin Medical University, Harbin, China.

出版信息

Ther Hypothermia Temp Manag. 2025 Mar;15(1):47-52. doi: 10.1089/ther.2024.0020. Epub 2024 Jul 26.

Abstract

The study aimed to explore the effect of the temperature chain management scheme on preventing hypothermia in patients undergoing robot-assisted radical prostatectomy (RARP). The patients were randomized to receive either intraoperative warming only (control group, Group C) or the temperature chain management (experimental group, Group T). We compared the core temperature, inadvertent perioperative hypothermia (IPH) rates, the incidence of shivering, and thermal comfort between the two groups. The perioperative core temperature of the Group T was higher than that of the Group C, and the incidence of IPH, the incidence of shivering in the postanesthesia care unit (PACU), and the length of stay in PACU were lower than those of the control group. The thermal comfort of Group T scored higher than that of Group C when leaving the PACU, all above have a statistically significant difference ( < 0.05). The temperature chain management scheme could decrease the IPH rates and reduce postoperative complications in RARP patients. The Clinical Trials Registration number is 2023IIT034.

摘要

本研究旨在探讨温度链管理方案对预防机器人辅助根治性前列腺切除术(RARP)患者体温过低的效果。患者被随机分为仅接受术中保暖的组(对照组,C组)或接受温度链管理的组(实验组,T组)。我们比较了两组的核心体温、围手术期意外体温过低(IPH)发生率、寒战发生率和热舒适度。T组的围手术期核心体温高于C组,IPH发生率、麻醉后监护病房(PACU)寒战发生率及PACU住院时间低于对照组。离开PACU时,T组的热舒适度得分高于C组,以上所有差异均具有统计学意义(<0.05)。温度链管理方案可降低RARP患者的IPH发生率并减少术后并发症。临床试验注册号为2023IIT034。

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