Clinical value of the Inditherm warming system on prevention of hypothermia in patients with TURP / 中国综合临床

ABSTRACT

Objective To evaluate the effectiveness of Inditherm warming system on prevention of intraoperative hypothermia in aged patients with transurethral resection of the prostate(TURP).Methods Fifty two aged patients with benign prostate hyperplasia(BPH) undergoing selective TURP were randomly divided into two groupsobservation group(n =27) and control group(n =25).Patients in observation group received temperature prevention from hypothermia by using the patient warming system which temperature was set to 38-40 ℃.The control group were not provided with warming mattress and the ambient temperature of operation room was maintained at 21-23 ℃.The changes of the rectal temperature were continuously monitored during the operation and changes of vital signs,part of postoperative indicators were observed.Results The temperature of patients in both groups decreased after anesthesia.The decreasing degree of rectal temperature at 30,45,60,and 90 min after anesthesia and at the end of operation in observation group was less than those in control group[20min(36.6±0.4)℃ vs(36.3±0.6)℃,t =2.1362;30 min(36.4±0.5) ℃ vs(35.8±0.4) ℃,t =4.7536;45 min(36.2±0.3)℃ vs(35.5±0.5)℃ ;t =6.1751;60 min(36.1±0.4)℃ vs(35.3±0.4)℃,t =7.2057;90 min(36.0±0.3)℃ vs(35.3±0.6)℃,t =5.3818;at the end of operation(36.0±0.4)℃ vs(35.3±0.5) ℃,t =5.5948 ; P ＜ 0.05 or P ＜ 0.01].The occurrence rate of hypothermia(rectal temperature ＜36 ℃) after operation in observation group was lower than that in coutrol group[25.93％(7/27) vs 92.00％(23/25),x2=23.218,P ＜ 0.01];The occurrence rate of shiver was significantly lower in observation group than that in control group[14.81％(4/27) vs 64.00％(16/25),x2 =13.267,P ＜ 0.01].The VAS scores assessment of pain in the observation group was significantly less than that in the control group[(2.45±1.88)points vs(3.79±1.63) points,t =2.7362,P ＜ 0.01].The length of stay was shorten[(5.37±±2.31) d vs (7.13±3.06) d,t =2.3518,P ＜ 0.05]and the prognosis was better in observation group.Conclusion The patient warming mattress can effectively prevent the occurrence of hypothermia of aged patients undergoing TURP and reduce the occurrence of associated complication.