´ëÀå¾Ï ³ëÀΠȯÀÚÀÇ º¹°°æ ¼ö¼ú½Ã ¸¶Ãë°¡½º °¡¿Â°¡½À¿ä¹ýÀÇ È¿°ú: ¹«ÀÛÀ§ ´ëÁ¶±º ½ÇÇ迬±¸
Effects of Heated-Humidified Anesthetic Gas in the Elderly Patients with Colorectal Cancer during Laparoscopic Surgery: Randomized Controlled Trial
¼ºÀΰ£È£ÇÐȸÁö 2018³â 30±Ç 2È£ p.206 ~ p.215
¹ÚÈ¿¼±(Park Hyo-Sun) - °¡Ãµ´ëÇб³ ±æº´¿ø
°À±Èñ(Kang Youn-Hee) - ÀÌÈ¿©ÀÚ´ëÇб³ °£È£´ëÇÐ
Abstract
Purpose: This study aimed to evaluate effects of heated-humidified anesthetic gas on body temperature, acid-base balance, blood cortisol, and lymphocyte in the elderly patients with colorectal cancer during laparoscopic surgery.
Methods: This study utilized an experimental design with a randomized controlled trial. A total of 60 patients with colorectal cancer were randomly assigned to one of two groups: either to the heated-humidified anesthetic gas group or to the usual anesthetic gas group. The following variables were measured: body temperature, acid-base balance, blood cortisol, and lymphocyte. The data were analyzed with independent t-test, ¥ö2 test, ANCOVA, and repeated ANOVA using SPSS/WIN 20.0.
Results: There was a significant difference in body temperature between the experimental group and the control group during laparoscopic surgery (F=41.18, p<.001). However, no statistically significant differences were found in acid-base balance, blood cortisol, and lymphocyte between two groups.
Conclusion: In this study, the body temperature during laparoscopic surgery was more effectively maintained with the heated-humidified anesthetic gas compared with the regular anesthetic gas. Therefore, the heated-humidified anesthetic gas might be considered to maintain the body temperature during laparoscopic surgery especially in the elderly population.
Å°¿öµå
¸¶Ãë, ´ëÀå¾Ï, º¹°°æ, ü¿Â
Anesthesia, Colorectal neoplasms, Laparoscopy, Body temperature
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
Heated-humidified anesthetic gas might be considered to maintain the body temperature during laparoscopic surgery especially in the elderly population; ¼ö¼ú Áß ¸¶Ãë°¡½º °¡¿Â°¡½À¿ä¹ýÀ» Àû¿ëÇÑ ½ÇÇ豺°ú Àû¿ëÇÏ Áö ¾ÊÀº ´ëÁ¶±ºÀÇ Ç÷Áß ÄÚƼÁ¹Àº ¼ö¼ú Àü, ¼ö¼ú ÈÄ 1½Ã°£, ¼ö¼ú ÈÄ 1ÀÏ, ¼ö¼ú ÈÄ 3ÀÏ, ¼ö¼ú ÈÄ 5ÀÏÀÇ ½ÃÁ¡º° Â÷ÀÌ´Â Åë°èÀûÀ¸·Î À¯ÀÇÇÑ °ÍÀ¸·Î ³ªÅ¸³².