[1]李文庆,高萌,杨辉宝,等.恒温冲洗液在单侧双通道脊柱内镜术中的应用疗效[J].中国中医骨伤科杂志,2026,34(06):77-82.[doi:10.20085/j.cnki.issn1005-0205.260611]
　LI Wenqing,GAO Meng,YANG Huibao,et al.The Influence of Constant-Temperature Irrigation Fluid on Patients Undergoing Unilateral Biportal Endoscopic Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(06):77-82.[doi:10.20085/j.cnki.issn1005-0205.260611]
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恒温冲洗液在单侧双通道脊柱内镜术中的应用疗效()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年06期
页码:
77-82
栏目:
临床研究
出版日期:
2026-06-15

文章信息/Info

Title:
The Influence of Constant-Temperature Irrigation Fluid on Patients Undergoing Unilateral Biportal Endoscopic Surgery
文章编号:
1005-0205(2026)06-0077-06
作者:
李文庆1; 高萌1; 杨辉宝1; 张林林1; 于其华2; 陈小龙2△
1安徽中医药大学附属第一临床医学院(合肥,230031)
2安徽中医药大学第七附属医院
Author(s):
LI Wenqing1; GAO Meng1; YANG Huibao1; ZHANG Linlin1; YU Qihua2; CHEN Xiaolong2△
1The First Clinical Medical College,Anhui University of Chinese Medicine,Hefei 230031,China; 2The Seventh Affiliated Hospital of Anhui University of Chinese Medicine,Taihe 236600,Anhui China.
关键词:
腰椎间盘突出症;  单侧双通道脊柱内镜术;  术中低体温;  炎症反应;  恒温冲洗液
Keywords:
lumbar disc herniation;  unilateral biportal endoscopic spine surgery;  intraoperative hypothermia;  local inflammatory factors;  constant-temperature irrigation fluid
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260611
文献标志码:
A
摘要:
目的:探究单侧双通道脊柱内镜术中37 ℃恒温冲洗液对患者体温及局部炎症介质的影响。方法:选择2024年6月至2025年8月行单侧双通道脊柱内镜手术患者60例,随机分为对照组和观察组。两组手术均由同一名经验丰富的主任医师进行,观察组采用37 ℃恒温生理盐水冲洗,对照组采用25 ℃室温生理盐水冲洗。通过监测术中温度、术后12 h、1周及3周的VAS评分及引流液中炎症因子TNF-α、IL-6水平评价疗效。结果:手术60 min时,对照组患者核心体温显著下降至(35.5±0.3)℃,低体温发生率为86.67%(26/30); 观察组体温为(36.2±0.4)℃,低体温发生率为36.67%(11/30),组间差异均有统计学意义(P<0.05)。术后1周及3周,观察组VAS评分均显著低于对照组(P<0.05),术后12 h两组VAS评分差异无统计学意义(P>0.05)。在术后3 h及术后6 h,观察组引流液TNF-α及IL-6水平均显著低于对照组,差异有统计学意义(P<0.05)。结论:单侧双通道脊柱内镜术中使用37 ℃恒温冲洗液可有效维持患者围术期核心体温稳定,降低低体温发生率,并减轻局部炎症反应,有助于缓解术后疼痛。
Abstract:
Objective:To explore the effect of 37 ℃ constant-temperature irrigation fluid on core body temperature and local inflammatory mediators in patients undergoing unilateral biportal endoscopic surgery(UBE).Methods:Sixty patients who underwent UBE surgery from June 2024 to August 2025 were randomly divided into control group and observation group.Both groups were operated on by the same experienced chief physician.The observation group was irrigated with normal saline maintained at 37 ℃,while the control group was irrigated with normal saline at room temperature(25 ℃).The efficacy was evaluated by monitoring the intraoperative core body temperature,VAS scores at 12 h,1 week,and 3 weeks postoperatively,and the levels of inflammatory factors TNF-α and IL-6 in the drainage fluid.Results:At 60 min of the operation,the core body temperature of the patients in the control group significantly decreased to(35.5±0.3)℃,with a hypothermia incidence rate of 86.67%(26/30); the body temperature of the observation group was(36.2±0.4)℃,and the hypothermia incidence rate was 36.67%(11/30).The differences between the two groups were statistically significant(P<0.05).One week and three weeks after the operation,the VAS scores of the observation group were significantly lower than those of the control group(P<0.05).There was no statistical difference in VAS scores between the two groups 12 h after the operation(P>0.05).At 3 h and 6 h after the operation,the levels of TNF-α and IL-6 in the drainage fluid of the observation group were significantly lower than those of the control group(P<0.05).Conclus-ion:The use of 37 ℃ constant temperature irrigation fluid during UBE can effectively maintain the stability of core body temperature during the perioperative period,reduce the incidence of hypothermia,and alleviate local inflammatory responses,which is helpful to relieve postoperative pain.

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(收稿日期:2025-10-25)

备注/Memo

备注/Memo:
基金项目:安徽省中医药传承创新科研项目(2024CCCX174)
△通信作者 E-mail:3181349039@qq.com
更新日期/Last Update: 2026-06-15