加温液体灌洗在腹腔镜手术中的应用

目的探讨加热液体灌洗法在腹腔镜手术中的应用。方法将60例妇科拟定腹腔镜手术病人，随机分成实验组（n=30）和对照组（n=30），实验组术中应用经保温水箱加热的38℃温生理盐水灌洗腹腔；对照组术中应用未经加热的常温生理盐水灌洗腹腔，比较两组患者术后寒战发生率及术程中患者体温变化。结果实验组病人在手术中30min和术毕时体温明显高于对照组（P〈0．01），但寒战发生率明显低于对照组（P〈0．01）。结论在腹腔镜手术中应用经保温水箱加热的温盐水灌洗腹腔有利于减少术中病人的体温下降，减少术中并发症的发生。

The Application of Warm Liquid Abdominal Lavaging in Laparoscopy Surgery

Objective To explore the advantage of warm liquid lavaging in laparoscopy surgery. Methods 60 cases of gynecologic patients ungerwent laparoscopy surgery were randomily divided into experimental group and control group,each consisting of 30 cases. 38℃ natrii chloride using to wash abdominal cavity during operation in experimental group, while control group using room temperature natrii chloride. The incidence of shivering rate and change of body temperature were compared between two group. Results The body temperature in experimental group was higher than that in control group 30 mins during operation and operative accomplishment, but the incidence of shivering rate in experimental group was less than that in control group（P 〈0. 01）. Conclusion Using warm liquid washing abdominal cavity during operation in laparoscopy surgery can reduce complications.