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Effects of temperature control combined with anesthesia awakening intervention on postoperative cognitive function and prevention of shivering during recovery in patients undergoing laparoscopic general anesthesia

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Author:
No author available
Journal Title:
Hebei Medical Journal
Issue:
15
DOI:
10.3969/j.issn.1002-7386.2024.15.013
Key Word:
体温控制;苏醒干预;腹腔镜全麻手术;认知功能;寒颤;temperature control;awakening intervention;laparoscopic general anesthesia;cognitive function;shiver

Abstract: Objective To exploring the effects of temperature control combined with anesthesia awakening intervention on postoperative cognitive function and prevention of shivering during recovery in patients undergoing laparoscopic general anesthesia.Methods A total of 94 patients receiving laparoscopic general anesthesia from July 2019 to June 2026 were selected.They were assigned into the control group and the observation group according to different interventions,with 47 cases in each group.Conventional interventions were given to patients of control group,and temperature control combined with anesthesia awakening intervention was performed in the observation group.Perioperative stress reaction was compared between groups.The Montreal Cognitive Assessment(MoCA)and the Mini Mental State Examination(MMSE)scales were used to evaluate the cognitive function of patients before and after operation.The postoperative shivering and nursing satisfaction of the two groups were compared.Results Postoperative C-reactive protein(CRP),epinephrine and norepinephrine were significantly higher than preoperative levels in both groups,which were significantly higher in the control group than those of the observation group(P<0.05).Postoperative MoCA and MMSE scores were significantly lower than preoperative levels in both groups,which were significantly lower in the control group than those of the observation group(P<0.05).After operation,the grade of shivering in the observation group was significantly better than that of the control group(P<0.05).Nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Temperature control combined with anesthesia awakening intervention can reduce the stress reaction of patients undergoing laparoscopic general anesthesia,reduce postoperative cognitive dysfunction,effectively prevent shivering during recovery,and facilitate the postoperative outcome.

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