摘要
目的探讨库血加温输注对手术患者体温的影响。方法将100例外科手术患者随机分为观察组和对照组,各50例。对照组按常规输血,观察组输血前将库血置37 ℃水浴箱10 min,分别于麻醉前,麻醉后30、60、120 min,术毕,术后30、60 min观察患者腋温和寒战发生情况。结果两组患者麻醉后60 min至术后60 min不同时间腋温比较,差异有显著性意义(均P<0.01);两组寒战总发生率比较,差异有显著性意义(P<0.01)。结论库血加温输注可以预防患者术中体温下降及寒战的发生,提高患者的手术耐受性。
Objective To examine the influence of warming of blood of blood bank on the temperature of patients during operation. Methods One hundred patients undergoing surgical operations were randomly divided into an experimental group and a control group, with 50 patients in each group. In the control group, the patients were given blood transfusion by using routine method. In the experimental group, the blood for transfusion was put in a water bath at 37 ℃ for 10 min and the patients were observed for armpit temperature and chills 30 min, 60 min, 120 min after anesthesia , 0 min, 30 min, 60 min after operation. Results There were significant differences in armpit tempe-ratures 60 min after anesthesia and 60 min after operation and the occurrence of chills between the two groups (P<0.01, for all). Conclusion Warning of blood from blood bank for transfusion can prevent the lowering of body temperature and chills thereby enhancing the tolerance of patients to operation.