[1]殷国江,罗中兵,宋晓阳,等.不同部位体温监测在开颅手术中的应用[J].中国临床神经外科杂志,2019,(06):339-340+344.[doi:10.13798/j.issn.1009-153X.2019.06.007]
　YIN Guo-jiang,LUO Zhong-bing,SONG Xiao-yang,et al.Intraoprative monitoring of different region temperature in patients undergoing craniotomy[J].,2019,(06):339-340+344.[doi:10.13798/j.issn.1009-153X.2019.06.007]
点击复制

不同部位体温监测在开颅手术中的应用()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年06期
页码:
339-340+344
栏目:
论著
出版日期:
2019-06-25

文章信息/Info

Title:
Intraoprative monitoring of different region temperature in patients undergoing craniotomy
文章编号:
1009-153X（2019）06-0339-02
作者:
殷国江; 罗中兵; 宋晓阳; 黎笔熙; 甘国胜
430070 武汉，中国人民解放军中部战区总医院麻醉科（殷国江、罗中兵、宋晓阳、黎笔熙、甘国胜）
Author(s):
YIN Guo-jiang;  LUO Zhong-bing;  SONG Xiao-yang;  LI Bi-xi;  GAN Guo-sheng.
Department of Anesthesiology, General Hospital, Central theatre, PLA, Wuhan 430070, China
关键词:
开颅手术; 膀胱温度; 腋窝温度; 鼻咽温度; 体温监测
Keywords:
Craniotomy;  Bladder temperature;  Axillary temperature;  Nasopharyngeal temperature;  Body temperature monitoring
分类号:
R 651.1+1; R 614
DOI:
10.13798/j.issn.1009-153X.2019.06.007
文献标志码:
A
摘要:
目的 探讨膀胱温度（BT）、腋窝温度（AT）与鼻咽温度（NT）在开颅手术中的一致性和相关性。方法 选取2018年3~6月全麻下行择期开颅手术病人30例，麻醉期间监测BT、AT与NT，30例总共采集体温数据319组，同一病人相同时间点为一组，每组3个数据，分别为BT、AT 和NT。结果 NT为（36.00±0.48）℃，BT为（36.17±0.49）℃，AT为（35.75±0.46）℃。NT比BT平均低（0.17±0.13）℃，95%置信区间为-0.07~0.42，最大差值为0.4 ℃，直线相关系数r=0.97（P<0.01），直线回归方程为：Y=0.94X+1.96（Y为BT，X为NT；P<0.05）。NT比AT平均高（0.25±0.23）℃，95%置信区间为-0.21~0.69，最大差值为0.6 ℃，直线相关系数r=0.85（P<0.01），直线回归方程为：Y=0.91X+3.64（Y为AT，X为NT；P<0.05）。结论 BT与NT一致性与相关性均较好，在开颅手术中可互为替换使用，而AT与NT相关性与一致性稍差，可作为备选方法。
Abstract:
Objective To compare the difference among the bladder temperature (BT), axillary temperature (AT) and nasopharynx temperature (NT) in the craniotomy in order to explore the possibility of replacing each other. Methods Thirty patients undergoing craniotomy were under general anesthesia selected. The intraoprative BT, AT and NT were monitored during anesthesia and they were recorded 10 minutes after the beginning of monitoring, at the beginning of the operation and every 20 minutes after the operation until the end of the operation in the 30 patients. BT and AT were compared with NT respectively. Results The mean value of the difference between BT and NT was (0.17±0.13)℃ (P<0.01), the 95% confidence interval was -0.07~0.42. The correlation coefficient is 0.97, and the linear equation is: Y=0.94X+1. 96 (Y is BT and X is NT). The mean value of the difference between NT and AT was (0.25±0.23 )℃ (P<0.01), the 95% confidence interval was -0.21~0.69, and 8.1% (26/319)data were outside the confidence interval. The correlation coefficient is 0.85, and the linear equation is: Y=0.91X+3. 64 (Y is AT and X is NT). Conclusions The consistency and correlatvity of the BT with NT are good, and they may be replaced each other in craniotomy. The consistency and correlativity of AT with NT are slightly worse, and they may be used as alternative ones.

参考文献/References:

[1] 张 晴，李洁莉，王 蓓，等. 开颅手术中加速康复外科理 念的临床应用[J]. 中国临床神经外科杂志，2017，12 （22）：851-853.
[2] 林清国，杨 修，杨武双，等. 亚低温治疗自发性脑出血的 临床疗效和安全性[J]. 中国临床神经外科杂志，2018，23 （4）：240-242，245.
[3] 郭丽波，王常松，李恩有，等. 术中核心温度监测研究进展 [J]. 国际麻醉学与复苏杂志，2014，35（7）：631-633，650.
[4] Wang M, Singh A, Qureshi H, et al. Optimal depth for naso- pharyngeal temperature probe positioning [J]. Anesth Analg, 2016, 122(5): 1434-1438.
[5] Lee J, Lim H, Son KG, et al. Optimal nasopharyngeal tem- perature probe placement [J]. Anesth Analg, 2014, 119(4): 875-879.
[6] G?b?l?s L, Philipp A, Ugocsai P, et al. Reliability of diffe- rent body temperature measurement sites during aortic surgery [J]. Perfusion, 2014, 29(1): 75-81.
[7] Knapik P, Rychlik W, Duda D, et al. Relationship between blood, nasopharyngeal and urinary bladder temperature during intravascular cooling for therapeutic hypothermia after cardiac arrest [J]. Resuscitation, 2012, 83(2): 208-212.
[8] Pei LJ, Huang YG, Mao GM, et al. Axillary temperature, as recorded by the ithermonitor wt701, well represents core temperature in adults having noncardiac surgery [J]. Anesth Analg, 2018, 126(3): 833-838.
[9] Drake-Brockman TF, Hegarty M, Chambers NA, et al. Mo- nitoring temperature in children undergoing anaesthesia: a comparison of methods [J]. Anaesth Intensive Care, 2014, 42(3): 315-320.

相似文献/References:

[1]肖国民　李　俊.大脑中动脉动脉瘤急诊开颅手术体会[J].中国临床神经外科杂志,2015,(02):109.[doi:10.13798/j.issn.1009-153X.2015.02.016]
[2]董建平　王和平　罗志伟　顾伟红　杨永华　张　晖　蔡　磊　叶权亿.开颅手术皮下引流管细菌学监测结果分析[J].中国临床神经外科杂志,2016,(08):497.[doi:10.13798/j.issn.1009-153X.2016.08.020]
[3]张洪微,窦榕榕,渠雪红,等.血清降钙素原在开颅术后颅内感染早期诊断中的价值[J].中国临床神经外科杂志,2016,(12):756.[doi:10.13798/j.issn.1009-153X.2016.12.008]
　ZHANG Hong-wei,DOU Rong-rong,QU Xue-hong,et al.The value of serum procalcitonin to early diagnosis of acute bacterial intracranial infection after craniotomy[J].,2016,(06):756.[doi:10.13798/j.issn.1009-153X.2016.12.008]
[4]周　健　陈谦学.清创联合抗生素持续封闭冲洗引流术治疗开颅术后硬膜外及硬膜下脓肿[J].中国临床神经外科杂志,2017,(05):318.[doi:10.13798/j.issn.1009-153X.2017.05.012]
　ZHOU Jian,CHEN Qian Xue..Application of debridement and continuous closed irrigation and drainage to the treatment of epidural and subdural abscess after craniotomy[J].,2017,(06):318.[doi:10.13798/j.issn.1009-153X.2017.05.012]
[5]高　涢　田春雷 综述　王雄伟 审校.创伤性胼周动脉动脉瘤的诊断与治疗[J].中国临床神经外科杂志,2017,(05):360.[doi:10.13798/j.issn.1009-153X.2017.05.029]
[6]何木良　植汉兴　钟向球　骆志明　易椿钧　李雄辉　王　煜.快速可吸收颅骨夹在开颅骨瓣复位固定术中的应用[J].中国临床神经外科杂志,2017,(08):584.[doi:10.13798/j.issn.1009-153X.2017.08.022]
[7]梁　伟　张学军　王东挺　祝　韬.颅脑损伤开颅术后并发颅内血肿危险因素分析[J].中国临床神经外科杂志,2017,(12):819.[doi:10.13798/j.issn.1009-153X.2017.12.006]
　LIANG Wei,ZHANG Xue-jun,WANG Dong-ting,et al.Analysis of risk factors related to intracranial hematoma after craniotomy in patients with traumatic brain injury[J].,2017,(06):819.[doi:10.13798/j.issn.1009-153X.2017.12.006]
[8]张　晴　李洁莉　王　蓓　戴　璇.开颅手术中加速康复外科理念的临床应用[J].中国临床神经外科杂志,2017,(12):851.[doi:10.13798/j.issn.1009-153X.2017.12.018]
[9]万　蕾　李洁莉　王　蓓.小区域条带状备皮在神经外科开颅手术中的应用[J].中国临床神经外科杂志,2018,(04):282.[doi:10.13798/j.issn.1009-153X.2018.04.022]
[10]杨晓滨　李德康　李　平　杨安强　吴　珂　刘　松.快速立体定位固定系统在开颅手术中的应用[J].中国临床神经外科杂志,2018,(05):366.[doi:10.13798/j.issn.1009-153X.2018.05.023]

备注/Memo

备注/Memo:
通讯作者：甘国胜，E-mail：526193186@qq.com
更新日期/Last Update: 2019-06-25