The Application Of Perioperative Multimodal Active Body Temperature Protection In Patients Undergoing Laparoscopic Colorectal Cancer Surgery

Objective:To observe the effects of perioperative multimodal active body temperature protection on the incidence of intraoperative hypothermia,intraoperative blood loss,postoperative chills,recovery time,postoperative fever rate three days after operation and postoperative inflammatory response indexes of patients undergoing laparoscopic colorectal cancer surgery.Methods:Line selection in our hospital undergoing elective laparoscopic radical prostatectomy and meets the criteria for the patients with colorectal cancer,A total of 100 cases as the research object,according to random number table method into its divided into 2 groups,group A multiple model heat preservation group actively,using heating air security blanket,30 min before patients anesthesia induction heat preservation,carried out on the patient all intravenous rehydration,flushing fluid and blood transfusion was warmed to body temperature level,intraoperative continuous monitoring of nasopharyngeal temperature,surgery patients with goals in the process of the core temperature is 37 ℃;Group B was the conventional body temperature management group,which received body temperature management according to the current clinical practice.Patients were given conventional monolayer cotton quilt insulation treatment from admission to the end of the operation,and all intravenous fluid rehydration,rinse fluid and blood transfusion were kept at room temperature.The body temperature was continuously monitored during the operation.When the patient’s core body temperature was less than 35.5℃,the patient was given a remedial inflatable heating protective blanket to prevent the continuous drop of body temperature.Routine induction and endotracheal intubation were performed in both groups.Intravenous anesthesia was used during the operation.Routine recovery and extubation were performed after the operation.The incidence of intraoperative hypothermia,intraoperative blood loss,postoperative chills,recovery time,fever rate three days after surgery,peripheral blood neutrophils,lymphocytes,thrombotometer values and other indexes were recorded in 2 groups.Results:There was no statistical significance in age,gender,BMI,surgery time and other indexes between 2 groups(P > 0.05).The incidence of intraoperative hypothermia in group A was lower than that in group B,and the difference was statistically significant(P<0.05).There was no significant difference in the amount of intraoperative blood loss between the two groups(P>0.05).The postoperative recovery time of group A was shorter than that of group B,and the difference was statistically significant(P<0.05).The incidence of postoperative shivering in group A was lower than that in group B,and the difference was statistically significant(P<0.05).Some patients in both groups had fever within 3days after surgery(body temperature > 38℃),the difference was not statistically significant(P > 0.05).The ratio of neutrophil-lymphocyte(NLR)and platelet-lymphocyte(PLR)in peripheral blood of both groups on the second day after surgery increased to varying degrees compared with that before surgery,and the increase of NLR and PLR in group A was less than that in group B,the difference was statistically significant(P<0.05).Conclusion:For patients undergoing colorectal cancer surgery,compared with the conventional body temperature management group,the multi-mode active insulation group reduced the incidence of intraoperative hypothermia,the incidence of postoperative shivering,the time of postoperative anesthesia recovery,and the increase of NLR and PLR on the second day after surgery.However,there was no significant effect on the fever rate and intraoperative blood loss three days after operation.