摘要
目的探讨围术期体温保护对腹腔镜胃癌根治术患者机体凝血功能的影响。方法两组胃癌患者均接受腹腔镜根治手术治疗,对照组围术期予以常规体温保护,研究组围术期予以加强体温保护。结果两组T1时鼓膜温度及凝血功能各项指标检测值对比P均> 0.05,研究组T2、T3时鼓膜温度下降幅度低于对照组(P <0.05),两组T2、T3时TT、PT、a PTT、Fbg等凝血指标检测值均较T1有所变化,但组间对比P> 0.05;研究组术后寒颤发生率(4.44%)显著低于对照组(35.56%)(P <0.05)。结论应用围术期强化体温保护有利于使胃癌腹腔镜根治术患者维持良好的机体凝血功能,对预防术后寒颤具有重要价值。
Objective To investigate the effect of perioperative temperature protection on coagulation function in patients undergoing laparoscopic radical gastrectomy.Methods Two groups of patients with gastric cancer underwent laparoscopic radical surgery.The control group received regular body temperature protection during the perioperative period.The study group was treated with enhanced body temperature during the perioperative period.Results The contrast of the tympanic membrane temperature and coagulation function in the two groups wasP >0.05.The tympanic membrane temperature decreased in the study group at T2 and T3,which was lower than that in the control group (P <0.05 ).The detection values of PT,aPTT,Fbg and other coagulation indicators were all different from T1,but the comparison between groups wasP > 0.05.The incidence of postoperative chills in the study group(4.44%)was significantly lower than that in the control group (35.56%),P <0.05.Conclusion The application of perioperative intensive body temperature protection is beneficial to maintain good coagulation function in patients undergoing laparoscopic radical surgery for gastric cancer,and is of great value in preventing postoperative chills.
作者
韩军
HAN Jun(Sichuan province of Armed Police Corps Hospital,Leshan,614000,China)
出处
《血栓与止血学》
2018年第6期976-977,980,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
腹腔镜胃癌根治术
围术期体温保护
凝血功能
Laparoscopic radical gastrectomy
Perioperative body temperature protection
Coagulation function
