Qun Zhou1, *, 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.
Perioperative period, body temperature, tumour patients, postoperative analgesia effect, postoperative recovery.