Volume 21 Issue 10
Oct.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1798-1801
CHEN Xiao, BAO Yingxue, ZHOU Yueqin, WANG Ligang. The effect of superficial large vessel warming technology combined with warming care in the surgical management of patients with complex trauma[J]. Chinese Journal of General Practice, 2023, 21(10): 1798-1801. doi: 10.16766/j.cnki.issn.1674-4152.003227
Citation: CHEN Xiao, BAO Yingxue, ZHOU Yueqin, WANG Ligang. The effect of superficial large vessel warming technology combined with warming care in the surgical management of patients with complex trauma[J]. Chinese Journal of General Practice, 2023, 21(10): 1798-1801. doi: 10.16766/j.cnki.issn.1674-4152.003227
shu

The effect of superficial large vessel warming technology combined with warming care in the surgical management of patients with complex trauma

doi: 10.16766/j.cnki.issn.1674-4152.003227
  • 1.

    Surgery Department of Xiaoshan District Hospital of Traditional Chinese Medicine (Jiangnan Hospital Affiliated to Zhejiang Chinese Medical University), Hangzhou, Zhejiang 311200, China

Funds:

 2022KY496

  • Received Date: 2023-06-12
    Available Online: 2023-11-23
    Abstract
  •   Objective  To investigate the clinical effect of combined warming technology and warming care for complex trauma patients undergoing surgery, in order to provide a reference for the selection of the warming scheme during surgery.  Methods  Eighty-four patients who underwent complicated trauma surgery in Xiaoshan District Hospital of Traditional Chinese Medicine from April 2018 to March 2023 were selected. They were randomly divided into the control group and the observation group with 42 cases each. During the perioperative period, the control group was heated by the traditional inflatable warming blanket. The study group was treated with the combination of superficial large vessel heat preservation and warming care. The changes in body temperature and the quality of anesthesia recovery between the two groups were compared at different time points.  Results  There was no statistically significant difference in body temperature between patients in the observation group at the end of surgery and when entering the anesthesia room and the operating room (P>0.05), while there was a statistically significant difference in body temperature between patients in the control group during surgery and when entering the anesthesia room and the operating room (P < 0.05). There was no statistically significant difference in body temperature between the two groups when entering the operating room. The body temperature of the observation group was higher than that of the control group from the start of surgery to the time of entering the anesthesia room (P < 0.05). The incidence of hypothermia in the observation group was 14.29% (6/42), the incidence of heat injury was 0, and the incidence of shivering was 4.76% (2/42), all of which were lower than the 35.71% (15/42), 16.67% (7/42), and 21.43% (9/42) of the control group (all P < 0.05). The observation group had shorter surgical time, wakefulness time, extubation time, and respiratory recovery time than the control group (all P < 0.05), and less intraoperative bleeding and infusion volume than the control group (all P < 0.05). There was no statistically significant difference in blood pressure and heart rate between the two groups during extubation (all P>0.05). At 10 minutes after extubation, blood pressure and heart rate were lower in the observation group than in the control group (all P < 0.05).  Conclusion  Superficial large vessels heat preservation technology combined with warming care can effectively improve the intraoperative temperature of patients with complex trauma, reduce temperature fluctuations, improve the quality of anesthesia recovery, ensure the recovery of vital signs after extubation.

     

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