Objective To explore the application effect of multimodal temperature management combined with sensory stimulation under the enhanced recovery after surgery pathway in patients undergoing general anesthesia for thoracolumbar fractures, as well as its impact on the perioperative body temperature and anesthesia awakening quality of the patients. Methods A total of 154 patients with thoracolumbar fractures undergoing general anesthesia surgery in the hospital from August 2022 to August 2025 were selected as research subjects. According to the random number table method, the selected patients were categorized into two groups, with 77 cases in each group. The control group was given routine heat preservation regimen and wake-up service, whereas the study group received multimodal body temperature management under fast track surgery pathway combined with sensory stimulation. Perioperative indicators, coagulation indicators before and after intervention, quality of anesthesia recovery and incidence rates of postoperative adverse reactions were compared between both groups of patients. Results After surgery, the body temperature in the study group was higher than that in the control group. The number of blood transfusion cases was less than that of the control group (P<0.05). After surgery, the thrombin time (TT), prothrombin time (PT) and activated partial thromboplastin time (APTT) in the control group were prolonged, and the level of fibrinogen (Fbg) was decreased (P<0.05), and no significant differences were observed in the study group compared with preoperative values (P>0.05). TT, PT and APTT in the study group were shorter than those in the control group, and Fbg was higher (P<0.05). The recovery time of consciousness, the recovery time of spontaneous breathing, and the length of stay in the anesthesia recovery room for the patients in the study group were all shorter than those in the control group (P<0.05). The total incidence rate of postoperative adverse reactions in the study group (7.79%) was lower compared to the control group (19.48%) (P<0.05). Conclusion For patients undergoing general anesthesia surgery for thoracolumbar fractures, the application of the enhanced recovery after surgery (ERAS) pathway combined with multimodal temperature management and sensory stimulation is beneficial for maintaining the patient's body temperature, ensuring normal coagulation function, improving the quality of anesthesia recovery, and reducing postoperative adverse reactions.
Key words
thoracolumbar fractures /
general anesthesia surgery /
enhanced recovery after surgery /
multimodal body temperature management /
sensory stimulation
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