|Table of Contents|

Effect of intraoperative warming infusion on postoperative recovery quality in elderly patients undergoing colorectal cancer surgery

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2018 05
Page:
713-717
Research Field:
Publishing date:

Info

Title:
Effect of intraoperative warming infusion on postoperative recovery quality in elderly patients undergoing colorectal cancer surgery
Author(s):
Ma Yang; Dai Yuting; Ma Ling
Department of Anesthesiology，Shengjing Hospital Affliated to China Medical University，Liaoning Shenyang 110000，China.
Keywords:
warming infusion; colorectal cancer surgery; recovery quality; post-operative quality recovery scale
PACS:
R735.3+5;R735.3+7
DOI:
10.3969/j.issn.1672-4992.2018.05.016
Abstract:
Objective：To evaluate the effect of different temperature of fluids on the quality of postoperative recovery in elderly patients undergoing colorectal cancer surgery.Methods：60 patients with elective open colorectal surgery under general anesthesia，ASA II-III，were recruited and randomly divided into warming infusion group (n=30)，which were infused with fluids of 41 ℃by heating apparatus，and control group (n=30)，which were infused of room temperature (22 ℃~25 ℃)，without special intervention.We observed the perioperative temperature changes and used PQRS scale (post-operative quality recovery scale) to evaluate the recover of physiology，cognitive function，activities of daily living，and the occurrence of anxiety，depression，pain，vomiting between two groups at 15 min and 40 min after extubation and the 1，3，7 day after surgery.Time of spontaneous breathing，time of eye opening on call，time of fully conscious，extubation time and steward score and the post-anesthesia care unit residence time were recorded too.Results：Compared with control group，warming infusion group had higher temperature at 90 min after began of surgery，extubation time，15 min，40 min after extubation(P<0.05).Hypothermia incidence was significantly lower at extubation time，15 min after extubation in warming infusion group(P<0.05).Compared with control group，time of spontaneous breathing，time of eye opening on call，time of fully conscious，extubation time and post-anesthesia care unit residence time in warming infusion group were significantly shorter，the Steward score were higher(P<0.05).The occur of pain at 15 min，40 min after operation was lower in warming infusion group (P<0.05).There was no significant different of physiological function，nausea and vomiting，anxiety，depression and activities of daily living and cognitive function recovery between two groups at any times(P>0.05).Conclusion：In elderly patients undergoing colorectal cancer surgery，intraoperative warming infusion can prevent the occurrence of hypothermia，and improve the postoperative recover quality and reduce the occurrence of pain in the recovery period.But it has no influence in the physiological function，nausea and vomiting，anxiety and depression，activities of daily living and cognitive function.

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Memo

Memo:
National Natural Science Foundation of China(No.81302534）；国家自然科学基金(编号：81302534)
Last Update: 1900-01-01