术中保温对腹腔镜胃癌根治术患者低体温及手术部位感染的临床效果

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Abstract Objective: To investigate the clinical effect of intraoperative measures on intraoperative hypothermia and postoperative surgical site infection in patients undergoing laparoscopic radical gastrectomy. Methods: A total of 194 patients who underwent laparoscopic radical gastrectomy at the Department of Gastrointestinal Surgery of the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University from August 2015 to January 2017 were divided into two groups according to intraoperative insulation measures: the intraoperative insulation group and intraoperative non-incubation group. The body temperature changes at the beginning of the surgery 30, 60, 120, 180 minutes and the end of the surgery, the incidence of hypothermia and surgical site infection, the time of extubation and the postoperative hospital stay were evaluated between the two groups. Results: The intraoperative insulation group was (36.43±0.19) ℃, (36.35±0.26) ℃, (36.35±0.28) ℃

and (36.27±0.30) ℃ respectively at 60, 120 and 180 minutes and at the end of operation. The intraoperative non-incubation group was (36.29±0.28) ℃, (36.21±0.34) ℃, (36.27±0.30) ℃ and (36.14±0.28) ℃ respectively at 60, 120 and 180 minutes and at the end of operation, the difference was statistically significant (P<0.05). The incidence of intraoperative hypothermia in intraoperative insulation group (33.3%) was significantly less than the intraoperative non-insulation group (59.4%), showing statistical difference (P<0.05). The incidence of postoperative surgical site infection (4.3%) in the intraoperative insulation group was lower than that in the intraoperative non-incubation group (12.9%), with statistical significance (P=0.043). Conclusion: Intraoperative insulation for gastric cancer patients can reduce the incidence of intraoperative hypothermia and surgical site infection and promote postoperative recovery.

Key words： laparoscopy radical gastrectomy intraoperative hypothermia wound infection

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	HU Mei
	HUANG Shubin
	YU Huixi
	LUO Junjun

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I1/67

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