CAJ | 학술논문

目的探讨不同温度冲洗液对经尿道前列腺汽化电切术(TUVP)患者术中体温的影响.方法选择行TUVP的患者57例,将其随机分为加温组29例和室温组28例.加温组术中使用冲洗液的温度维持在30℃～35℃,室温组术中使用冲洗液的温度维持在20℃ ～ 25℃.观察患者的中心体温、寒战反应等指标.结果加温组患者的中心体温在术中0.5、1h以及术终均比室温组的中心体温高,差异有显著性(P＜0.05).加温组患者的寒战发生率(13.8％)比室温组(46.4％)低,差异有显著性(P＜ 0.01).结论在行TUVP术中使用加温冲洗液有预防患者术中低体温的作用.
목적 탐토불동온도충세액대경뇨도전렬선기화전절술(TUVP)환자술중체온적영향.방법 선택행TUVP적환자57례,장기수궤분위가온조29례화실온조28례.가온조술중사용충세액적온도유지재30℃～35℃,실온조술중사용충세액적온도유지재20℃ ～ 25℃.관찰환자적중심체온、한전반응등지표.결과 가온조환자적중심체온재술중0.5、1h이급술종균비실온조적중심체온고,차이유현저성(P＜0.05).가온조환자적한전발생솔(13.8％)비실온조(46.4％)저,차이유현저성(P＜ 0.01).결론 재행TUVP술중사용가온충세액유예방환자술중저체온적작용.
Objective To explore the effects of washing solution at two different temperaure on body temperaure in patients undergoing transurethal vaporization of the prostate.Methods A total of 57 patients undergoing transurethal vaporization of the prostate were randomly divided into warm washing solution group ( n=29 ) and room-temperaure washing solution group ( n =28 ).The former group received washing solution at 30 to 35 ℃ during surgical treatment,while the latter group received solution at 20 to 25℃.The core temperaure and shivering response were observed.Results The core temperaure was higher in the warm solution group than in the room- temperaure group ( P＜ 0.05 ).The incidence rate of shivering response was lower in the warm solution group than in the room-temperaure group ( 13.8％ vs 46.4％,P ＜ 0.01 ).Conclusions The application of warm washing solution in transurethal vaporization of the prostate plays a role in the prevention ofintraoperative hypothermia in patients.