Preventive Intervention For Hypothermia In Patients Undergoing Thoracic Surgery Reduces Complications

Objective: This study aimed to probe into the factors leading to hypothermia (HT) in patients undergoing thoracic surgery and its countermeasures. Methods: Two hundred and twelve thoracic surgery patients admitted to our hospital from January 2018 to June 2018 were enrolled. The clinical data of patients were collected, and the risk factors of HT in surgical patients were analyzed by univariate and Logistics regression analyses. Another 128 patients who underwent thoracic surgery in our hospital were recruited, among which the regular group (n=58) received routine preventive approaches, and the research group (n=70) was given preventive measures targeting the risk factors of HT. The effects of preventive measures of HT on intraoperative complications, stress response, recovery and nursing satisfaction were compared. Results: Age >60 years old, operation time >2 hours, intraoperative infusion volume >2000 mL, open operation, operating room temperature <24 degrees C and rinse solution volume >2000 mL were the risk factors for HT in patients undergoing thoracic surgery. Compared with the regular group, the incidence of HT, chills and partial surgical infection was lower in the research group, and the stress reaction and coagulation function in the research group was also statistically improved. In addition, the postanesthesia care unit (PACU) residence time, anesthesia recovery time, hospitalization time and nursing satisfaction in the research group were better than those in the regular group. Conclusions: Age >60 years old, operation time >2 hours, intraoperative infusion volume >2000 mL, open operation, operating room temperature <24 degrees C and rinse solution volume >2000 mL were risk factors leading to HT in patients undergoing thoracic surgery, and targeted HT prevention measures based on these risk factors show better therapeutic effects and higher patient satisfaction than routine prevention measures.