CAJ | 학술논문

目的探讨新生儿腹部手术对患儿术中体温和凝血功能的影响.方法将60例择期全麻下行腹部手术的患儿随机分为对非保温组和保温组,各30例.保温组给予充气式保温毯等综合保温措施,观察两组患儿术中体温变化和凝血功能变化.结果保温组患者术中体温保持较恒定,各时间点间比较差异无统计学意义;非保温组患儿体温随手术时间的延长,体温进行性下降,60 min后各时间点温度值与基础值比较差异有统计学意义,且与保温组比较差异亦有统计学意义.非保温组术后与术前比较PLT、PT、APTT、FBG差异均有统计学意义.结论术中使用综合保温措施有利于保持新生儿术中体温和凝血功能稳定.
목적 탐토신생인복부수술대환인술중체온화응혈공능적영향.방법 장60례택기전마하행복부수술적환인수궤분위대비보온조화보온조,각30례.보온조급여충기식보온담등종합보온조시,관찰량조환인술중체온변화화응혈공능변화.결과 보온조환자술중체온보지교항정,각시간점간비교차이무통계학의의;비보온조환인체온수수술시간적연장,체온진행성하강,60 min후각시간점온도치여기출치비교차이유통계학의의,차여보온조비교차이역유통계학의의.비보온조술후여술전비교PLT、PT、APTT、FBG차이균유통계학의의.결론 술중사용종합보온조시유리우보지신생인술중체온화응혈공능은정.
Objective To explore the influence of neonate abdominal surgery on patients, temperature and the function of blood coagulation. Methods Sixty neonates scheduled for elective abdominal surgery under general anesthesia, were enrolled in the study. The patients were randomly divided into 2 groups:unheated preservation group( n = 30)and warming group( n = 30). In the warming group, patients were additionally warmed with fluid warming device and forced-air warming system. The perioperative body temperature and the function of blood coagulation in the two groups were observed. Results The temperature kept smooth in the experiment group all the times, Compared with the base data, the temperature in the controlled group is lower from 60 minutes after induction of general anesthesia to the end of surgery, which is statistically different with the experiment group. There are statistical difference in PLT、PT、APTT and FBG between pre-operation and post-operation in the controlled group. Conclusion Fluid warming system and forced-air warming system can propitiously keep the perioperative body temperature and the coagulation function of neonate stable.