中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
3期
357-360
,共4页
结肠肿瘤%外科手术%护理%充气式保温毯
結腸腫瘤%外科手術%護理%充氣式保溫毯
결장종류%외과수술%호리%충기식보온담
Colon cancer%Surgery%Nursing%Forced-air warming blanket
目的研究结肠癌根治术手术患者术中采用充气式保温毯预防术中体温下降的应用价值。方法选取择期行全身麻醉的结肠癌根治术患者60例,采用随机数字表法分为保温组和对照组,对照组患者在室温下手术,除手术期间加温静脉用液、血和加温腹腔冲洗液外,没有加用充气式保温毯。保温组患者除手术期间加温静脉用液、血和加温腹腔冲洗液外,加用充气式保温毯,观察两组患者体温、血浆凝血酶原时间( PT)、部分激活凝血活酶时间( APTT)、纤维蛋白原( FIB)、PLT的变化。结果对照组与保温组,手术开始时体温分别为(36.4±0.3),(36.3±0.4)℃,差异无统计学意义(t=0.319,P>0.05),手术结束时对照组体温为(35.5±0.4)℃,明显低于保温组的(36.5±0.3)℃(t =4.984,P<0.05)。对照组患者术后6 h PT、APTT分别为(14.1±1.3),(35.6±4.3) s,明显长于术前的(10.5±1.6),(28.1±4.1)s,差异有统计学意义(t值分别为5.897,6.654;P<0.05),对照组患者术后6 h FIB、PLT分别为(2.7±0.2)g/L,(135.7±31.9)×109/L,显著低于术前的(3.2±0.2)g/L,(213.1±36.1)×109/L,差异有统计学意义( t值分别为7.574,4.753;P<0.05)。保温组患者术后6 h PT、APTT分别为(10.8±1.2),(29.0±2.8)s,与术前的(10.6±1.4),(28.3±3.7)s相比,差异无统计学意义(t值分别为0.564,0.975;P>0.05),保温组患者术后6 h FIB、PLT分别为(3.2±0.2)g/L,(198.6±36.3)×109/L,与术前的(3.2±0.1) g/L,(211.1±33.2)×109/L相比,差异无统计学意义(t值分别为0.879,0.654;P>0.05)。结论结肠癌根治术中使用充气式保温毯可减少围手术期低体温及低体温相关并发症的发生。
目的研究結腸癌根治術手術患者術中採用充氣式保溫毯預防術中體溫下降的應用價值。方法選取擇期行全身痳醉的結腸癌根治術患者60例,採用隨機數字錶法分為保溫組和對照組,對照組患者在室溫下手術,除手術期間加溫靜脈用液、血和加溫腹腔遲洗液外,沒有加用充氣式保溫毯。保溫組患者除手術期間加溫靜脈用液、血和加溫腹腔遲洗液外,加用充氣式保溫毯,觀察兩組患者體溫、血漿凝血酶原時間( PT)、部分激活凝血活酶時間( APTT)、纖維蛋白原( FIB)、PLT的變化。結果對照組與保溫組,手術開始時體溫分彆為(36.4±0.3),(36.3±0.4)℃,差異無統計學意義(t=0.319,P>0.05),手術結束時對照組體溫為(35.5±0.4)℃,明顯低于保溫組的(36.5±0.3)℃(t =4.984,P<0.05)。對照組患者術後6 h PT、APTT分彆為(14.1±1.3),(35.6±4.3) s,明顯長于術前的(10.5±1.6),(28.1±4.1)s,差異有統計學意義(t值分彆為5.897,6.654;P<0.05),對照組患者術後6 h FIB、PLT分彆為(2.7±0.2)g/L,(135.7±31.9)×109/L,顯著低于術前的(3.2±0.2)g/L,(213.1±36.1)×109/L,差異有統計學意義( t值分彆為7.574,4.753;P<0.05)。保溫組患者術後6 h PT、APTT分彆為(10.8±1.2),(29.0±2.8)s,與術前的(10.6±1.4),(28.3±3.7)s相比,差異無統計學意義(t值分彆為0.564,0.975;P>0.05),保溫組患者術後6 h FIB、PLT分彆為(3.2±0.2)g/L,(198.6±36.3)×109/L,與術前的(3.2±0.1) g/L,(211.1±33.2)×109/L相比,差異無統計學意義(t值分彆為0.879,0.654;P>0.05)。結論結腸癌根治術中使用充氣式保溫毯可減少圍手術期低體溫及低體溫相關併髮癥的髮生。
목적연구결장암근치술수술환자술중채용충기식보온담예방술중체온하강적응용개치。방법선취택기행전신마취적결장암근치술환자60례,채용수궤수자표법분위보온조화대조조,대조조환자재실온하수술,제수술기간가온정맥용액、혈화가온복강충세액외,몰유가용충기식보온담。보온조환자제수술기간가온정맥용액、혈화가온복강충세액외,가용충기식보온담,관찰량조환자체온、혈장응혈매원시간( PT)、부분격활응혈활매시간( APTT)、섬유단백원( FIB)、PLT적변화。결과대조조여보온조,수술개시시체온분별위(36.4±0.3),(36.3±0.4)℃,차이무통계학의의(t=0.319,P>0.05),수술결속시대조조체온위(35.5±0.4)℃,명현저우보온조적(36.5±0.3)℃(t =4.984,P<0.05)。대조조환자술후6 h PT、APTT분별위(14.1±1.3),(35.6±4.3) s,명현장우술전적(10.5±1.6),(28.1±4.1)s,차이유통계학의의(t치분별위5.897,6.654;P<0.05),대조조환자술후6 h FIB、PLT분별위(2.7±0.2)g/L,(135.7±31.9)×109/L,현저저우술전적(3.2±0.2)g/L,(213.1±36.1)×109/L,차이유통계학의의( t치분별위7.574,4.753;P<0.05)。보온조환자술후6 h PT、APTT분별위(10.8±1.2),(29.0±2.8)s,여술전적(10.6±1.4),(28.3±3.7)s상비,차이무통계학의의(t치분별위0.564,0.975;P>0.05),보온조환자술후6 h FIB、PLT분별위(3.2±0.2)g/L,(198.6±36.3)×109/L,여술전적(3.2±0.1) g/L,(211.1±33.2)×109/L상비,차이무통계학의의(t치분별위0.879,0.654;P>0.05)。결론결장암근치술중사용충기식보온담가감소위수술기저체온급저체온상관병발증적발생。
Objective To probe into the value of forced-air warming blanket to prevent the body temperature drop of surgical patients during operation .Methods A total of 60 colon cancer patients accepting radical operation under general anesthesia were randomly divided into test and control group .During the operation, control group cases received operation at room temperature .Except during the heating operation of intravenous fluid , blood and warming peritoneal lavage fluid ,with no use of forced-air warming blanket .Patients of test group had received their operation on the forced-air warming blanket in surgical bed , except during the heating operation of intravenous fluid , blood and warming peritoneal washings . Then changes of body temperature, PT, APTT, PLT of the two group cases were observed .Results Control group compared with test group, no significant difference was found at the beginning of the operation temperature [(36.4 ±0.3 vs 36.3 ± 0.4)℃,t=0.319, P>0.05], the operation temperature at the end of the control group was significantly lower than that in test group [(35.5 ±0.4 vs 36.5 ±0.3)℃,t=4.984, P<0.05].In control group,PT [(14.1 ± 1.3 vs 10.5 ±1.6)s] and APTT[(35.6 ±4.3 vs 28.1 ±4.1) s] of postoperation 6 hours were significantly longer than that preoperation(t=5.897,6.654;P<0.05),and FIB [(2.7 ±0.2 vs 3.2 ±0.2)g/L] and PLT [(135.7 ±31.9 vs 213.1 ±36.1) ×109/L] of postoperation 6 hours were significantly lower than that preoperation (t=7.574,4.753;P<0.05),PT[(10.8 ±1.2 vs 10.6 ±1.4)s],APTT[(29.0 ±2.8 vs 28.3 ± 3.7)s],FIB[(3.2 ±0.2 vs 3.2 ±0.1) g/L],PLT[(198.6 ±36.3 vs 211.1 ±33.2) ×109/L] had no significant differences before and after surgery in the test group ( t =0.564, 0.975;P >0.05 );. Conclusions During the radical resection of colon cancer ,forced-air warming blanket can effectively reduce the occurrence of peri-operation period of low temperature and low temperature related complication .