中药灸贴穴位对HoLRP围术期预防低体温及寒战效果研究OA
Study on the Effect of Traditional Chinese Medicine Moxibustion on Acupoints in Preventing Hypothermia and Shivering During the Perioperative Period of HoLRP
目的:研究中药灸贴穴位对钬激光前列腺切除术(HoLRP)患者围手术期预防低体温及寒战效果.方法:选取2022年1 月—2023 年 12 月在广州中医药大学第三附属医院治疗的 90 例行HoLRP前列腺增生患者为研究对象,采用随机数表法分为实验组和对照组,每组各 45 例.对照组术前采用传统保温干预法,实验组在此基础上联合中药灸贴穴位,比较两组不同时间节点体温、心率、平均动脉压、麻醉时长、手术时长、总输液量、总灌洗量、寒战例数、低体温例数.结果:与入室时比较,两组术中60 min、术毕核心体温均降低,且实验组更高,差异有统计学意义(P<0.05);与入室时比较,实验组心率、平均动脉压各时间节点比较,差异无统计学意义(P>0.05);对照组术毕时心率、平均动脉压低于入室时,术中 60 min平均动脉压低于入室时,差异有统计学意义(P<0.05);两组手术时间、麻醉时长、总输液量、总灌洗量比较,差异无统计学意义(P>0.05);实验组寒战发生率低于对照组,差异有统计学意义(P<0.05);实验组低体温发生率低于对照组,差异有统计学意义(P<0.05).结论:中药灸贴穴位对HoLRP围手术期预防低体温及寒战效果明显,其能维持核心体温、心率、平均动脉压、围手术期各项指标稳定.
Objective:To study the effect of traditional Chinese medicine moxibustion on acupoints in preventing perioperative hypothermia and shivering in patients undergoing holmium laser resection of the prostate(HoLRP).Method:90 patients with prostatic hyperplasia who underwent HoLRP treated in the hospital from January 2022 to December 2023 were included.They were divided into an experimental group and a control group,with 45 cases each using the random number table method.The control group used traditional heat preservation intervention method before surgery,and the experimental group combined with traditional Chinese medicine moxibustion on acupoints on this basis.The body temperature,heart rate,mean arterial pressure,anesthesia duration,operation duration,total infusion volume,total lavage volume,number of cases of chills and cases of hypothermia were compared between the two groups at different time points.Result:Compared with the time when entering the room,the core body temperature of both groups decreased 60 min during the operation and at the end of the operation,and was higher in the experimental group(P<0.05).Compared with the time of entering the room,there were no statistics on the heart rate and mean arterial pressure at each time point in the experimental group.There was a scientific difference(P>0.05).The heart rate and mean arterial pressure at the end of the operation in the control group were lower than when entering the room,and the average arterial pressure 60 min during the operation was lower than when entering the room(P<0.05).There was no statistical significance in the operation time,anesthesia duration,total infusion volume,total lavage volume(P>0.05).The incidence of shivering in the experimental group was lower than that in the control group(P<0.05).The incidence of hypothermia in the experimental group was lower than that in the control group(P<0.05).Conclusion:Traditional Chinese medicine moxibustion on acupoints has a significant effect on preventing hypothermia and shivering during the perioperative period of HoLRP.It can maintain the stability of core body temperature,heart rate,mean arterial pressure,and various indicators during the perioperative period.
吴卓;梁柳英;陈琳淑
广州中医药大学第三附属医院 广东 湛江 510378广州中医药大学第三附属医院 广东 湛江 510378广州中医药大学第三附属医院 广东 湛江 510378
中药穴位灸贴钬激光前列腺切除术寒战
Chinese medicineAcupoint moxibustion patchHoLRPShivering
《中外医学研究》 2026 (7)
116-119,4
中药灸贴穴位对HoLRP围术期预防低体温及寒战效果研究(项目编号:20221201)
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