PERIOPERATIVE TEMPERATURE AND ITS EFFECT ON POSTOPERATIVE ANALGESIA AND POSTOPERATIVE RECOVERY IN PATIENTS WITH CANCER

Qun Zhou^{1, *}, Xiaoju Wan², Jie Song¹, Songquan Hu¹, Huanhuan Li¹

¹Department of Anesthesiology, Jiangxi Provincial Maternal and Child Health Hospital, Nanchang, PR China - ²Department of Obstetrics and Gynecology, The first affiliated hospital of Nanchang University, Nanchang, PR China

Objective: To investigate the effect of perioperative body temperature on postoperative analgesia and postoperative recovery in patients with cancer

Methods: 144 patients with tumours admitted between March 2018 and March 2019 in our hospital were selected as subjects. They were randomly divided into an observation group and a control group according to a random number table. Each group included 72 patients. The anaesthesia method was the same. A regular heat preservation method was used with the patients in the control group, and a comprehensive heat preservation method was used with the patients in the observation group. The analgesic effect and postoperative recovery of the two groups were compared. 

Results: There was no significant difference in nasal temperature between the two groups (P>0.05). The nasal cavity temperature of the observation group after 1 hour of anaesthesia and after surgery was higher than that of the control group (P<0.05). There were no statistical differences in the perioperative period of the operation, intraoperative blood loss, or infusion volume between the two groups (P>0.05). The extubation time of the observation group was significantly lower than that of the control group (P<0.05). The VAS scores of the two groups significantly decreased with time (P<0.05). The VAS scores of the observation group were lower than those of the control group 2 hours and 12 hours after the operation (P<0.05), but there was no significant difference between the two groups (P>0.05). There was also no significant difference in the preoperative MMSE and MoCA scores between the two groups (P>0.05). The MMSE and MoCA scores of both groups were lower 2 hours and 24 hours after surgery than those before surgery (P<0.05), and the MMSE and MoCA scores of the observation group were higher than those of the control group 2 hours and 24 hours after surgery (P<0.05). There was no significant difference in MMSE and MoCA scores between the two groups 24 hours after surgery (P>0.05). 

Conclusion: Comprehensive heat preservation during the perioperative period can effectively improve the postoperative analgesia effect in patients with cancer and their quality of postoperative recovery. It is worthy of clinical application.