Comparison of amino acid infusion with a forced-air warming system for rewarming hypothermic postoperative cancer patients without shivering
10.19401/j.cnki.1007-3639.2016.08.007
- VernacularTitle:静注复合氨基酸与充气式升温机对肿瘤术后低体温无寒战患者的治疗效果比较
- Author:
Xijun YANG
;
Changhong MIAO
;
Yajun XU
;
Yanying ZHANG
;
Zimin SU
;
Wenting HOU
;
Shengjin GE
- Publication Type:Journal Article
- Keywords:
Mixed amino acid;
Forced-air warming system;
Postoperative hypothermia;
Tumor metastasis
- From:China Oncology
2016;26(8):682-686
- CountryChina
- Language:Chinese
-
Abstract:
Background and purpose:Perioperative hypothermia will affect the prognosis of cancer patients. Amino acid infusion can increase the core temperature by endogenous thermogenesis. And the forced-air warming system has gained high acceptance as a measure for rewarming. This study aimed to find out whether amino acid infusion was effective to treat postoperative hypothermia and how well the treatment effect was when compared with the forced-air warming system.Methods:Fifty-seven ASAⅠ orⅡ patients aged 18-60 years undergoing elective esophageal or gastric cancer operation under epidural-general anesthesia and whose core temperature were below 36℃. When admitted to the recovery room wererandomly divided into 3 groups (n=19): GroupⅠ received intravenous infusion of mixed amino acid at a rate of 2 mL·kg-1·h-1 (A); GroupⅡ received a forced-air system (B); groupⅢreceived no therapy (C). Rectal temperature and thermal comfort were recorded per 5 min during the ifrst 1 h and oral temperature and thermal comfort were recorded at the 2, 6 and 24 h. ABG was recorded when patients were admitted to the recovery room and at the ifrst hour.Results:At the ifrst hour, the rectal temperature and thermal comfort of groups A and B were higher when compared with group C (P<0.05), and there was no difference between groups A and B (P>0.05). At the second and sixthhour, the temperature and thermal comfort of group A were higher when compared with group B and C (P<0.05), and there was no difference between groups B and C (P>0.05). At the 24th hour, there were no statistically signiifcant differences in the temperature and thermal comfort among the three groups (P>0.05).
Conclusion:The rewarming effect of infusion of mixed amino acid is better than that of the forced-air warming system. It is the more effective and convenient method to rewarm the postoperative hypothermia.
