关键词: 肩关节镜手术, 一动力三循环, 低体温, 苏醒时间

Abstract: Objective: To develop a temperature management program for patients undergoing shoulder arthroscopic surgery based on the medical quality management model of "one power and three cycles", and to evaluate the effect of this program, aiming to provide a reference for temperature management of shoulder arthroscopic surgery patients. Methods: Convenience sampling method was employed to recruit 118 patients undergoing shoulder arthroscopic rotator cuff repair under general anesthesia in a tertiary grade A hospital in Xuzhou from May to December 2023. Fifty-nine patients enrolled from May to August 2023 were assigned to the control group and received the conventional thermal insulation countermeasures. Another 59 patients enrolled from September to December 2023 were assigned to the intervention group and received the body temperature management program based on the "one power and three cycles" medical quality management model. The incidence of Inadvertent Perioperative Hypothermia (IPH), Heart Rate (HR), Mean Arterial Pressure (MAP), recovery time and postoperative complications were compared between the two groups. Results: The incidence of IPH, recovery time, and the number of cases of chills and restlessness during resuscitation in the intervention group were all lower than those in the control group (all P<0.001). At 60 minutes and 80 minutes after the start of the operation and during the recovery period, the HR of patients in the intervention group was higher than that of patients in the control group (all P<0.001). At 80 minutes after the start of the operation and during the recovery period, the MAP of patients in the intervention group was higher than that of patients in the control group (all P<0.001). Conclusion: The "one power and three cycles" medical quality management model can reduce the incidence of IPH, shorten the recovery time, maintain hemodynamic stability, decrease the occurrence of complications such as shivering and restlessness in patients undergoing shoulder arthroscopic surgery during the resuscitation period, and promote the accelerated recovery of patients.

Key words: shoulder arthroscopic surgery, one power and three cycles, hypothermia, recovery time