摘要
目的:探讨术中体温保护对妇科手术患者术中体温变化及凝血功能的影响。方法:择期行妇科手术患者随机分为保温组(29例)和对照组(27例)。保温组患者入室后开启充气加温系统,温度调至40℃;术中非手术部位用外科敷料、棉垫包裹,所用液体及血制品均用输液加温器加温后输入。对照组患者术中按层流手术间标准常规手术操作。记录患者入手术室(T入)、手术开始(T手)、手术30 min(T30)、60 min(T60)、90 min(T90)、出手术室体温(T出)及术前、术后24 h凝血功能等指标。结果:保温组和对照组患者T入相比差异无统计学意义(P>0.05),术中各时间点体温相比差异有统计学意义(P<0.05)。对照组T60后,低体温发生率明显高于T手(P<0.05)。保温组术后24 h凝血功能与术前相比,差异无统计学意义(P>0.05)。对照组PT、APTT明显延长,差异有统计学意义(P<0.05)。结论:术中对妇科手术患者采取有效的保温措施,可使患者体温保持相对恒定,减少术中低体温的发生率。在妇科手术中,轻度低体温不会对患者凝血功能产生显著影响。
Objective： To explore the effect of intraoperative warming on temperature change and coagulation function in patients undergoing gynecological surgery. Methods： The patients undergoing elective gynecological surgery were randomly divided into wanning group （29 patients） and control group （27 patients） . The patients in wanning group were treated with air warming system after entering the operation room, the temperature was set at 40℃ ; surgical dressings and pad wraps were used to warm the non-surgical sites, the liquid and blood products were infused after warming by infusion wanner. The patients in control group were treated according to routine standards. The temperature values at the time of entering the operation room （ Tentering ）, at the time of starting operation （ Toperation）, at 30 minutes （T30）, 60 minutes （ T60 ）, 90 minutes （ T90 ） during operation, and at the time of leaving the operation room （ Tleaving） and coagulation function indicators before operation and at 24 hours after operation were recorded. Results： There was no statistically significant difference in Teatering between the two groups （ P〉0. 05 ）, but there were statistically significant differences in temperature values at different time points during operation between the two groups （P〈0. 05 ） . In control group, the incidence rate of hypothermia at T60 was statistically significantly higher than that at Toperation （P〈0. 05） . In warming group, there was no statistically significant difference in coagulation function between before surgery and at 24 hours after operation （P〉0. 05） . PT and APTY in control group prolonged significantly （P〈0. 05） . Condusion： Taking effective warming measures during gynecological surgery may allow patients to maintain a relatively constant temperature and reduce the incidence rate of intraoperative hypothermia. Mild hypothermia has no significant impact on coagulation function during gynecological surgery.
出处
《中国妇幼保健》
CAS
2015年第13期2109-2111,共3页
Maternal and Child Health Care of China
基金
国家自然科学基金〔81360180〕
卫生行业科研专项项目〔201002005〕
遵义市15851人才项目
关键词
妇科手术
体温
凝血功能
Gynecological surgery
Body temperature
Coagulation function
