Influence of Percutaneous Nephrolithotomy Lithotripsy Perfusion Under Different Fluid Temperature
HUANG Ping
HUANG Hai
Abstract：Objective To provide a scientific basis for percutaneous nephrolithotomy lithotripsy perfusion fluid temperature selection. Methods The 80 cases of percutaneous nephrolithotomy lithotripsy were randomly divided into 40 cases in warmed group under 36℃~37℃during surgery.40 cases in the room temperature group is under 25℃ambient temperature using perfusion fluid.Operative time and perfusion were compared, and the changes of body temperature, heart rate, blood pressure and other vital signs were dynamically moni-tored.Comparison of postoperative shivering, irritability, arrhythmia incidence of adverse reactions of the two groups was done.Results There was no significant difference of operation time and perfusion in warmed group and room temperature group (P>0.05).Compared with the warmed group, patients in room temperature group significantly had body temperature decreased, and heart rate increased.The differences were statistically significant (P<0.05).There was no significant difference in blood pressure between the two groups.Heating postoperative shivering, irritability, arrhythmias and other adverse reactions were lower than room temperature group, and the difference was statistically significant ( P<0.05 ) .Conclusion Percutaneous nephrolithotomy surgery using perfusion solution at room temperature can cause hypothermia, increased heart rate, postoperative shivering, irritability, arrhythmias and other adverse reactions.Using perfusion fluid heating can reduce the adverse effects on the patients′body, and improve surgical safety.
Keywords：Percutaneous nephrolithotomy lithotripsy perfusionFluidAdverse reactionVital sign
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 1248-1249 )