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Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy

PURPOSE: To explore the influence of irrigating fluid at different temperatures on patients' body temperature and local inflammatory mediators during spinal endoscopy. METHODS: 110 cases of intervertebral foramen surgery in our hospital from January 2019 to October 2021 were randomly divided in...

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Autores principales: Sun, Maji, Chu, Fuchao, Zhang, Lidong, Zhao, Rui, Liu, Xiaona, Yu, Huilin, Pan, Bin, Wu, Jibin, Yuan, Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9237985/
https://www.ncbi.nlm.nih.gov/pubmed/35765022
http://dx.doi.org/10.1186/s13018-022-03226-x
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author Sun, Maji
Chu, Fuchao
Zhang, Lidong
Zhao, Rui
Liu, Xiaona
Yu, Huilin
Pan, Bin
Wu, Jibin
Yuan, Feng
author_facet Sun, Maji
Chu, Fuchao
Zhang, Lidong
Zhao, Rui
Liu, Xiaona
Yu, Huilin
Pan, Bin
Wu, Jibin
Yuan, Feng
author_sort Sun, Maji
collection PubMed
description PURPOSE: To explore the influence of irrigating fluid at different temperatures on patients' body temperature and local inflammatory mediators during spinal endoscopy. METHODS: 110 cases of intervertebral foramen surgery in our hospital from January 2019 to October 2021 were randomly divided into control group and observation group. Operations of both groups were performed by the same experienced chief physician. The observation group was irrigated with 37 °C constant temperature saline, while the control group was irrigated at room temperature. The effect was evaluated by monitoring the intraoperative temperature, postoperative VAS score and the levels of inflammatory factors, such as TNF-α, IL-1, IL-6 and IL-10 in drainage fluid. RESULTS: After 30 min of operation, overall temperature of the control group dropped significantly, and 50 cases (90.9%) had hypothermia, P < 0.05. There was no significant difference in preoperative VAS score between the two groups P > 0.05. The VAS score of observation group was significantly lower than that of control group at 6 h and 1 month after operation, P < 0.05. At 0, 3 and 6 h after operation, the values of TNF-α, IL-1, IL-6 and IL-10 in the observation group were significantly lower than those in the control group (P < 0.05). CONCLUSIONS: Isothermal flushing solution can reduce the incidence of hypothermia and effectively alleviate local inflammatory reaction.
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spelling pubmed-92379852022-06-29 Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy Sun, Maji Chu, Fuchao Zhang, Lidong Zhao, Rui Liu, Xiaona Yu, Huilin Pan, Bin Wu, Jibin Yuan, Feng J Orthop Surg Res Research PURPOSE: To explore the influence of irrigating fluid at different temperatures on patients' body temperature and local inflammatory mediators during spinal endoscopy. METHODS: 110 cases of intervertebral foramen surgery in our hospital from January 2019 to October 2021 were randomly divided into control group and observation group. Operations of both groups were performed by the same experienced chief physician. The observation group was irrigated with 37 °C constant temperature saline, while the control group was irrigated at room temperature. The effect was evaluated by monitoring the intraoperative temperature, postoperative VAS score and the levels of inflammatory factors, such as TNF-α, IL-1, IL-6 and IL-10 in drainage fluid. RESULTS: After 30 min of operation, overall temperature of the control group dropped significantly, and 50 cases (90.9%) had hypothermia, P < 0.05. There was no significant difference in preoperative VAS score between the two groups P > 0.05. The VAS score of observation group was significantly lower than that of control group at 6 h and 1 month after operation, P < 0.05. At 0, 3 and 6 h after operation, the values of TNF-α, IL-1, IL-6 and IL-10 in the observation group were significantly lower than those in the control group (P < 0.05). CONCLUSIONS: Isothermal flushing solution can reduce the incidence of hypothermia and effectively alleviate local inflammatory reaction. BioMed Central 2022-06-28 /pmc/articles/PMC9237985/ /pubmed/35765022 http://dx.doi.org/10.1186/s13018-022-03226-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Sun, Maji
Chu, Fuchao
Zhang, Lidong
Zhao, Rui
Liu, Xiaona
Yu, Huilin
Pan, Bin
Wu, Jibin
Yuan, Feng
Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
title Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
title_full Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
title_fullStr Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
title_full_unstemmed Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
title_short Effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
title_sort effect of medium with moderate temperature on patient's body temperature during percutaneous endoscopic lumbar discectomy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9237985/
https://www.ncbi.nlm.nih.gov/pubmed/35765022
http://dx.doi.org/10.1186/s13018-022-03226-x
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