腹腔冲洗温度和不同冲洗方式对胃肠道手术患者体温及术后并发症的影响

目的：研究腹腔冲洗温度和不同冲洗方式对胃肠道手术患者体温及术后并发症的影响。方法：以数字法将胃肠手术病患36例分成观察组（18例）和对照组（18例）。对照组在关腹前以室温之下生理盐水冲洗碗对腹腔冲洗。观察组则以冲洗装置对生理盐水缓慢加热后匀速冲洗。对比两个组别手术情况，并发症情况以及鼓膜温度变化。结果：观察组冲洗液剂量为3195±789 mL，复苏拔管的时间为43．6±7．7min，显著低于对照组分别数据4282±1045 mL，51．4±8．7min。差异均有统计学意义（均P＜0．05）。观察组手术时长和冲洗时长与对照组对比。差异无统计学意义（均P＞0．05）。观察组寒战发生率为4（22．22％），烦躁和躁动为4（22．22％），肠道通气时间为21．9±4．2h，均显著低于对照组分别数据10（55．56％），11（61．11％），25．2±5．3h。差异均有统计学意义（均P＜0．05）。两组寒战程度分级对比，差异无统计学意义（P＜0．05）。对照组冲洗之后温度为36．3±0．4℃，术后30min温度为36．5±0．3℃，均显著低于冲洗之前温度36．9±0．3℃；观察组冲洗之后温度为36．5±0．1℃，术后30min温度为36．6±0．3℃，均显著低于冲洗之前温度36．8±0．2℃。同时，观察组在冲洗之后温度显著高于对照组冲洗之后温度。差异均有统计学意义（均P＜0．05）。结论：对冲洗液进行加热之后匀速冲洗腹腔，能够减少冲洗剂量，缩短复苏拔管的时间，以及肠道的通气时间，同时还可降低并发症的发生率，病患体温下降情况迅速恢复，效果良好，值得临床推荐。

The Correlation between Body Temperature and Postoperative Complications Peritoneal Rinse Temperature and Different Ways of Rinse in Patients with Gastrointestinal Tract Operation

Objective：To study the correlation between peritoneal rinse temperature and different ways of rinse body temperature and postoperative complications in patients with gastrointestinal tract operation . Method：36 cases patients with gastrointestinal tract operation divided into observation group by using digital method for （18 cases） and control group （18 cases）.In the control group, it used normal saline wash bowl to do peritoneal rinse before closed abdomen under room temperature .The observation group was used rinse installation to heat normal saline slowly and then did uniform rinse , compared two groups of surgery condi-tion, complications and tympanic temperature changes .Result：The observation group ’ s dose of flush fluid was 3195 ±789 mL, recovery extubation time was 43.6 ±7.7min, was significantly lower than the control group’ s respective data of 4282 ±1045 mL, 51.4 ±8.7min.Differences were statistically significant （ all P 〈0.05） .The observation group ’ s surgery time and rinse time compared with the control group , the difference was not statistically significant （all P〉0.05）.The observation group’s incidence of shivering was 4 （22. 22%）, irritability and agitation was 4 （22.22%）, intestinal ventilation time was 21.9±4.2 hours, which were significantly lower than the control group data of 10 （55.56%）, 11 （61.11%）, 25.2±5.3 hours. Differences were statistically significant （all P 〈0.05）, compared the 2 groups’ shiver degree grade, the difference was not statistically significant （P 〈0.05）.After rinsing, the temperature of the control group was 36.3 ±0.4℃, after half an hour of the surgery , the temperature was 36.5 ±0.3℃, was significantly lower than before rinsing ’ s temperature of 36.9 ±0.3℃.The observation group after rinsing ’ s temperature of 36. 5 ±0.1℃, after half an hour of the surgery , the temperature was 36.6 ±0.3 ℃, was significantly lower than before rinsing’s temperature of 36.8 ±0.2℃.Meanwhile, the observation group after rinsing’s temper-ature was significantly higher than the control , differences were statistically significant （ all P 〈0.05） .Con-clusion：Rinse installation to heat normal saline slowly and then did uniform rinse to peritoneal , can reduce＆amp;nbsp;dose of flush fluid and short the the recovery time of extubation , and intestinal ventilation time , also can re-duce the incidence of complications .The patients’ body temperature drops rapidly recovery , has good effect and is worthy to recommend .