Application of innovative heat preservation scheme based on PDCA cycle and Delphi method in the thoracoscopic radical resection of pulmonary carcinoma under general anesthesia

CHEN Mei-hua; XU Xue-fen

doi:10.11659/jjssx.04E025118

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Application of innovative heat preservation scheme based on PDCA cycle and Delphi method in the thoracoscopic radical resection of pulmonary carcinoma under general anesthesia

Clinical Research | 更新时间：2025-12-22

- Application of innovative heat preservation scheme based on PDCA cycle and Delphi method in the thoracoscopic radical resection of pulmonary carcinoma under general anesthesia
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 12, Pages: 1077-1081(2025)
- 作者机构：
  
  苏州市中医医院麻醉科，江苏苏州 215000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.04E025118
  CLC： R614.2
- Received：22 April 2025，
  
  Published：25 December 2025
- 稿件说明：
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陈梅花,徐雪芬.一种基于PDCA循环和德尔菲法构建的保温方案在全身麻醉下胸腔镜肺癌根治术中的应用[J].局解手术学杂志,2025,34(12):1077-1081.

CHEN Mei-hua,XU Xue-fen.Application of innovative heat preservation scheme based on PDCA cycle and Delphi method in the thoracoscopic radical resection of pulmonary carcinoma under general anesthesia[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(12):1077-1081.
陈梅花,徐雪芬.一种基于PDCA循环和德尔菲法构建的保温方案在全身麻醉下胸腔镜肺癌根治术中的应用[J].局解手术学杂志,2025,34(12):1077-1081. DOI： 10.11659/jjssx.04E025118.

CHEN Mei-hua,XU Xue-fen.Application of innovative heat preservation scheme based on PDCA cycle and Delphi method in the thoracoscopic radical resection of pulmonary carcinoma under general anesthesia[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(12):1077-1081. DOI： 10.11659/jjssx.04E025118.

摘要

目的

基于计划-执行-检查-处理（PDCA）循环和德尔菲法构建创新保温方案，并探讨该保温方案在全身麻醉下胸腔镜肺癌根治术中的应用效果。

方法

选取2022年3月至2023年9月于我院行全身麻醉下胸腔镜肺癌根治术的患者102例，随机分为观察组52例和对照组50例。对照组患者采取常规手术保温措施，观察组患者采取基于PDCA循环和德尔菲法构建的创新保温方案。比较2组患者围术期体温、术后寒战发生率、术后Ramsay评分、麻醉恢复质量量表（QoR-40）评分。

结果

麻醉后10 min、30 min、60 min以及术毕，观察组患者的

体温均高于对照组（

0.05）。观察组患者术后寒战发生率为5.77%，低于对照组的20.00%（

0.05）。观察组患者术后Ramsay评分为1分的比例为7.69%，低于对照组的24.00%（

0.05）。观察组患者QoR-40中的情绪状态评分、身体舒适度评分以及总分均高于对照组（

0.05）。

结论

基于PDCA循环和德尔菲法构建的创新保温方案可维持全身麻醉下胸腔镜肺癌根治术患者的术中体温稳定，减少寒战发生，麻醉恢复质量更好。

Abstract

Objective

The innovative heat preservation scheme was constructed based on plan-do-check-action （PDCA） cycle and Delphi method，and the application effect of this heat preservation scheme in thoracoscopic radical resection of pulmonary carcinoma under general anesthesia was explored.

Methods

A total of 102 patients who underwent thoracoscopic radical resection of pulmonary carcinoma under general anesthesia from March 2022 to September 2023 were selected and randomly divided into the observation group （52 cases） and the control group （50 cases）. Patients in the control group received routine intraoperative warming measures，while patients in the observation group received innovative heat preservation scheme based on PDCA cycle and Delphi method. The perioperative body temperature，the incidence of postoperative shivering，the postoperative Ramsay scores，and the quality of recovery-40 questionnaire（QoR-40） scores were compared between the two groups.

Results

At 10 minutes，30 minutes，60 minutes after anesthesia and at the end of the operation，the body temperatures of patients in the observation group were higher than those in the control group （

0.05）. The incidence of postoperative shivering of patients in the observation group was 5.77%，which was lower than 20.00% in the control group （

0.05）. The proportion of patients in the observation group with a Ramsay score of 1 after surgery was 7.69%，which was lower than 24.00% in the control group （

0.05）. The emotional state sc

ore，physical comfort score and total score in the QoR-40 of patients in the observation group were all higher than those in the control group （

0.05）.

Conclusion

The innovative heat preservation scheme constructed based on PDCA cycle and Delphi method can maintain the intraoperative body temperature stability of patients undergoing thoracoscopic radical resection of pulmonary carcinoma under general anesthesia，reduce the occurrence of shivering，and improve the quality of anesthesia recovery.

关键词

Keywords

references

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