APPLICATION OF REFINED MANAGEMENT UNDER THE GUIDANCE OF TEMPERATURE AGITATION MONITORING IN RECOVERY PERIOD MANAGEMENT OF COLORECTAL CANCER PATIENTS UNDERGOING LAPAROSCOPIC SURGERY UNDER GENERAL ANESTHESIA

Man Cao^{#, *}, Run Feng^#

Department of Anesthesiology, Wuhan First Hospital (Wuhan Hospital of Integrated Traditional Chinese and Western Medicine), Hubei, Wuhan, 430030, PR China

Introduction: To investigate the effect of refined management under the guidance of temperature agitation monitoring in recovery period management of colorectal cancer patients undergoing laparoscopic surgery under general anesthesia.

Material and methods: A total of 130 colorectal cancer patients undergoing laparoscopic surgery under general anesthesia in our hospital from January 2022 to December 2022 were prospectively included. Using random number table method, they were divided into the control group (65 cases) who were treated with routine perioperative nursing intervention, and the experimental group (65 cases) who were given refined management under the guidance of temperature agitation monitoring on the basis of the control group. The resuscitation time, the level of vital signs during recovery period, the incidence of complications and nursing satisfaction of 2 groups were compared. 

Results: The spontaneous breathing time, wake up and eye opening time and extubation time in the experimental group were significantly shorter than those in the control group (P<0.05). The levels of vital signs at 10min, 30min and 1h after emergence in the control group were significantly higher than those at the completion of surgery (P<0.05). The levels of vital signs at 10min, 30min and 1h after emergence in the experimental group were significantly lower than those in the control group (P<0.05). The incidence of hypothermia and emergence agitation in the experimental group was significantly lower than that in the control group (P<0.05). The nursing satisfaction of the experimental group was significantly higher than that of the control group (P<0.05). 

Conclusion: Refined management under the guidance of temperature agitation monitoring can effectively shorten the time required for recovery, stabilize vital signs and reduce the risk of hypothermia and emergence agitation, and is helpful to the improvement of nursing satisfaction.