CAJ | 학술논문

目的探讨联合保温措施对妇科腹腔镜手术患者体温和凝血功能的影响.方法将70例妇科腹腔镜手术患者随机分为实验组和对照组各35例.实验组采用充气保温毯、输液和冲洗液加温的联合保温措施,对照组给予常规护理.记录两组患者术前、手术1 h时、术毕时的体温和手术的出血量,比较两组患者手术前后的凝血功能相关指标.结果与实验组患者比较,对照组手术1 h时和术毕体温下降明显,术中出血量较多;术后凝血酶时间延长、纤维蛋白原和血小板计数均低于实验组,差异均有统计学意义(P＜0.05).结论联合保温措施能够有效地防止妇科腹腔镜手术患者围术期低体温的出现,改善由低体温所致的凝血障碍,减少出血量,值得临床推广应用.
목적 탐토연합보온조시대부과복강경수술환자체온화응혈공능적영향.방법 장70례부과복강경수술환자수궤분위실험조화대조조각35례.실험조채용충기보온담、수액화충세액가온적연합보온조시,대조조급여상규호리.기록량조환자술전、수술1 h시、술필시적체온화수술적출혈량,비교량조환자수술전후적응혈공능상관지표.결과 여실험조환자비교,대조조수술1 h시화술필체온하강명현,술중출혈량교다;술후응혈매시간연장、섬유단백원화혈소판계수균저우실험조,차이균유통계학의의(P＜0.05).결론 연합보온조시능구유효지방지부과복강경수술환자위술기저체온적출현,개선유저체온소치적응혈장애,감소출혈량,치득림상추엄응용.
Objective To explore the influence of combined warming measure on intraoperative temperature and coagulation function in patients during gynecologic laparoscopic surgery. Methods A total of 70 patients undergoing gynecologic laparoscopic surgery were randomly divided into the intervention group ( n =35 ) and the control group ( n = 35 ). The intervention group received combined warming measure including using inflatable warming blanket, beating transfusion and rinses, while the regular nursing was performed in the control group. The core body temperature of the patients were recorded before operation, 1 hour after the beginning of operation and at the completion of operation. The amounts of blood loss were recorded as well. The index of coagulation function before and after operation were detected. Results Compared with the intervention group, the core body temperature 1 hour after the beginning of operation and at the completion of operation were lower; the amounts of blood loss were larger; the thrombin time prolonged; the fibrinogen and peripheral blood platelets were lower in the control group. There were statistical meanings in all of the defferences ( P ＜ 0. 05 ).Conclusions Combined warming measure can effectively prevent intraoperative hypothermia, improve the coagulation function disorders and reduce the amounts of blood loss. The method can be used in clinic widely.