The influence of standardized perioperative thermal insulation intervention on the core body temperature of patients undergoing holmium laser lithotripsy under ureteroscopy
围手术期标准化保温干预对输尿管镜下钬激光碎石手术患者核心体温的影响

摘要

目的 深入探究围手术期标准化保温干预对输尿管镜下钬激光碎石手术患者中对核心体温的调控效果，分析其对患者术后恢复指标的积极作用，为临床围手术期体温管理提供更精准的参考依据。方法 选取2024年1月至2025年6月于我院行输尿管镜下钬激光碎石手术的100例患者，采用随机数字表法分为对照组和实验组，每组50例。对照组实施常规护理模式，实验组在常规护理基础上开展标准化保温干预。结果 实验组在手术30min、60min及结束时的核心体温显著高于对照组（P＜0.05）；实验组术后寒战发生率为12%，明显低于对照组的30%（P＜0.05）；实验组拔管时间（10.5±2.8min）及清醒时间（22.3±4.2min）均显著短于对照组（15.2±3.5min、30.5±5.0min）（P＜0.01）。结论 围手术期标准化保温干预可有效维持输尿管镜下钬激光碎石手术患者核心体温稳定，降低术后寒战风险，缩短复苏时间，值得在临床推广应用。

Abstract

Objective To deeply explore the regulatory effect of standardized perioperative thermal insulation intervention on core body temperature in patients undergoing ureteroscopic holmium laser lithotripsy, analyze its positive role in postoperative recovery indicators of patients, and provide more accurate reference basis for perioperative body temperature management in clinical practice.
Methods A total of 100 patients who underwent ureteroscopic holmium laser lithotripsy in our hospital from January 2024 to June 2025 were selected and divided into the control group and the experimental group by random number table method, with 50 cases in each group. The control group received the conventional nursing mode, while the experimental group carried out standardized heat preservation intervention on the basis of conventional nursing.
Results The core body temperature of the experimental group at 30 minutes, 60 minutes and at the end of the operation was significantly higher than that of the control group (P < 0.05). The incidence of postoperative chills in the experimental group was 12%, significantly lower than 30% in the control group (P < 0.05). The extubation time (10.5±2.8min) and awakening time (22.3±4.2min) in the experimental group were significantly shorter than those in the control group (15.2±3.5min, 30.5±5.0min) (P < 0.01).
Conclusion   Standardized perioperative thermal insulation intervention can effectively maintain the core body temperature stability of patients undergoing holmium laser lithotripsy under ureteroscopy, reduce the risk of postoperative shivering, and shorten the recovery time. It is worthy of clinical promotion and application.