Effects of a multiple heat-preservation approach on core body temperature during perioperative period of hip arthroscopy
10.3969/j.issn.1000-6710.2024.08.004
- VernacularTitle:复合保温措施对髋关节镜围手术期患者核心体温的影响
- Author:
Di ZHANG
1
;
Tong ZHENG
;
Man LI
;
Na LI
;
Rui XIAO
Author Information
1. 首都医科大学附属北京积水潭医院手术室(北京 100035)
- Keywords:
heat preservation;
core body temperature;
hypothermia;
hip arthroscopy;
perioperative period
- From:
Chinese Journal of Sports Medicine
2024;43(8):613-618
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of a multiple heat-preservation approach during the peri-operative period of hip arthroscopy on core body temperature,anesthesia recovery time and postopera-tive shivering.Methods Eighty patients who underwent arthroscopic acetabular labral repair between Jan-uary 2020 and June 2021 were selected and randomly divided into a control group and an observation group,each of 40.During the perioperative period,both groups received routine nursing,while the ob-servation group was additionally provided with a series of heat-preservation measures including raising the room temperature,liquid heating and warm blanket insulation.The core body temperature was mon-itored by an axillary probe.Moreover,the perioperative core body temperature,anesthesia recovery time,and incidence of postoperative shivering were compared between the two groups.Results There was no significant differences were found between the two groups in the preoperative core body temper-ature(P>0.05).However,the core body temperature of the observation group was significantly higher than the control group intraoperatively(36.2℃±0.2℃vs 35.9℃±0.2℃,P<0.001)and postoperatively(36.6℃±0.2℃vs 36.4℃±0.2℃,P<0.001),while the incidence of intraoperative hypothermia(<36.0℃)of the observation group was significantly lower than the latter(7.5%vs 70.0%,P<0.001).Meanwhile,the anesthesia recovery time[27.0(24.0,30.0)min vs 30.0(28.0,33.0)min,M(P25,P75),P<0.001]and incidence of postoperative shivering(7.5%vs 25.0%,P=0.034)in the observation group were significantly lower than the control group.Conclusion Adopting a multiple heat-preservation approach during the perioperative period of hip arthroscopy can help maintain the core body tempera-ture,shorten the anesthesia recovery time,and reduce the incidence of postoperative shivering.
