摘要
目的:探讨构建肝肾移植手术控温系统在肝肾移植手术中的临床应用效果。方法:选取2017年8月-2018年1月在本院进行移植手术的5例肝移植、10例肾移植患者作为研究对象,设为对照组,采用常规控温方案并进行数据采集,根据结果调整方案,构建完整的肝、肾移植控温方案。选取2018年2月-2019年1月在本院进行移植手术的20例肝移植、40例肾移植患者作为研究对象设为观察组,移植手术过程中采用构建的肝肾移植手术控温系统方案。比较两组患者手术期间的皮肤温度和体温变化(包括手术开始时、开始后10、30、60、90、120、150 min及手术结束时),比较两组患者的不良反应发生率和系统性反应发生率,并对所有患者随访两个月。结果:手术期间,观察组的皮肤温度与对照组相比,差异均无统计学意义(P>0.05);手术开始后120 min以内,观察组体温与对照组相比,差异均无统计学意义(P>0.05);手术开始120 min后至结束期间,观察组体温显著高于对照组,差异均有统计学意义(P<0.05)。观察组的不良反应发生率10.00%显著低于对照组的40.00%,两组比较差异有统计学意义(P<0.05);系统性反应发生率36.66%与对照组46.66%相比,差异无统计学意义(P>0.05)。结论:肝肾移植手术控温系统能够有效维持患者的体温恒定,降低不良反应的发生率,有利于预后,具有临床应用和推广价值。
Objective:To explore the clinical application effect of constructing liver-kidney transplantation surgery temperature control system in liver and kidney transplantation.Method:Five patients with liver transplantation and 10 kidney transplants who underwent transplantation in our hospital from August 2017 to January 2018 were selected as the control group.The conventional temperature control scheme was adopted and data collection was carried out.According to the result adjustment scheme,a complete liver and kidney transplantation temperature control scheme was constructed.20 cases of liver transplantation and 40 cases of renal transplantation were performed in our hospital from February 2018 to January 2019.The study group was used as the observation group,and the constructed liver and kidney transplantation temperature control system was adopted during the transplantation.The skin temperature and body temperature changes during surgery were compared between the two groups(including the start of surgery,10,30,60,90,120,150 min after the start and the end of surgery).The incidence and systemicity of adverse reactions were compared between the two groups.The incidence of reactions was followed and all patients were followed for two months.Result:During the operation,compared with the control group,the skin temperature of the observation group had no significant differences(P>0.05).Within 120 minutes after the start of surgery,there were no significant differences between the observation group and the control group(P>0.05).The temperature of the observation group were significantly higher than those of the control group from 120 minutes to the end of the operation,and the difference were statistically significant(P<0.05).The incidence of adverse reactions in the observation group(10.00%)was significantly lower than that in the control group(40.00%),and the difference between the two groups was statistically significant(P<0.05).The incidence of systemic response in the observation group(36.66%)was not statistically si
作者
汪英
陈爱华
吴海萍
何艳玲
WANG Ying;CHEN Aihua;WU Haiping;HE Yanling(Shenzhen Third People’s Hospital,Shenzhen 518000,China)
出处
《中国医学创新》
CAS
2019年第31期149-153,共5页
Medical Innovation of China
基金
深圳市卫生计生系统科研项目(SZXJ2017017)
关键词
肝肾移植手术
控温系统
体温
应用效果
Liver and kidney transplantation surgery
Temperature control system
Body temperature
Application effect
