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대장암 노인 환자의 복강경 수술시 마취가스 가온가습요법의 효과: 무작위 대조군 실험연구

Effects of Heated-Humidified Anesthetic Gas in the Elderly Patients with Colorectal Cancer during Laparoscopic Surgery: Randomized Controlled Trial

성인간호학회지
2018년 30권 2호 p.206 ~ p.215
박효선 ( Park Hyo-Sun ) - 가천대학교 길병원

강윤희 ( Kang Youn-Hee ) - 이화여자대학교 간호대학

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, χ2 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.

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학술진흥재단(KCI) KoreaMed 
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