医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
8期
1543-1544,1547
,共3页
手术期间%体温%休克 ,出血性%分娩%随机对照试验
手術期間%體溫%休剋 ,齣血性%分娩%隨機對照試驗
수술기간%체온%휴극 ,출혈성%분면%수궤대조시험
Intraoperative Period%Body Temperature%Shock,Hemorrhagic%Parturition%Ran-domized Controlled Trial
【目的】评估围手术期综合保温措施对失血性休克产妇剖宫产手术中生命体征、血气分析及凝血功能等指标的影响。【方法】将200例失血性休克拟行剖宫产产妇随机分为两组，对照组围术期按照常规进行护理，观察组围手术期采用综合保温措施，比较两组患者的血压、心率、呼吸、鼻咽部体温、凝血功能、血气分析结果、红细胞压积、血乳酸值及术后寒战发生率、抢救成功率和住院时间。【结果】观察组患者的各项生命体征均优于对照组（ P ＜0．05）；患者术后寒战发生率为16．00％低于对照组37．00％；抢救成功率93．00％高于对照组76．00％；住院时间（10．20±5．10）d较对照组（16．70±6．40）d短，其差异均有统计学意义（ P ＜0．05）。【结论】围手术期综合保温措施能降低失血性休克产妇剖宫产术后寒战的发生率，提高手术抢救的成功率，促进患者恢复，缩短住院时间。
【目的】評估圍手術期綜閤保溫措施對失血性休剋產婦剖宮產手術中生命體徵、血氣分析及凝血功能等指標的影響。【方法】將200例失血性休剋擬行剖宮產產婦隨機分為兩組，對照組圍術期按照常規進行護理，觀察組圍手術期採用綜閤保溫措施，比較兩組患者的血壓、心率、呼吸、鼻嚥部體溫、凝血功能、血氣分析結果、紅細胞壓積、血乳痠值及術後寒戰髮生率、搶救成功率和住院時間。【結果】觀察組患者的各項生命體徵均優于對照組（ P ＜0．05）；患者術後寒戰髮生率為16．00％低于對照組37．00％；搶救成功率93．00％高于對照組76．00％；住院時間（10．20±5．10）d較對照組（16．70±6．40）d短，其差異均有統計學意義（ P ＜0．05）。【結論】圍手術期綜閤保溫措施能降低失血性休剋產婦剖宮產術後寒戰的髮生率，提高手術搶救的成功率，促進患者恢複，縮短住院時間。
【목적】평고위수술기종합보온조시대실혈성휴극산부부궁산수술중생명체정、혈기분석급응혈공능등지표적영향。【방법】장200례실혈성휴극의행부궁산산부수궤분위량조，대조조위술기안조상규진행호리，관찰조위수술기채용종합보온조시，비교량조환자적혈압、심솔、호흡、비인부체온、응혈공능、혈기분석결과、홍세포압적、혈유산치급술후한전발생솔、창구성공솔화주원시간。【결과】관찰조환자적각항생명체정균우우대조조（ P ＜0．05）；환자술후한전발생솔위16．00％저우대조조37．00％；창구성공솔93．00％고우대조조76．00％；주원시간（10．20±5．10）d교대조조（16．70±6．40）d단，기차이균유통계학의의（ P ＜0．05）。【결론】위수술기종합보온조시능강저실혈성휴극산부부궁산술후한전적발생솔，제고수술창구적성공솔，촉진환자회복，축단주원시간。
To assess the impact of perioperative synthetic insulation measures on the result of operation for puerperas with hemorrhagic shock .[Methods] Totally 200 patients were randomly divided into two groups .The control group was treated with conventional surgical method ,while the observation group was given perioperative synthetic insulation measures .Blood pressure ,heart rate ,respiration ,nasopharyngeal temperature ,blood coagulation ,blood gas analysis results ,hematocrit ,blood lactic acid value ,the incidence of postoperative shivering ,the rate of successful rescue and hospital stay were compared between two groups .[Results] The vital signs of patients in observation group were all better than those of patients in control group ( P <0 .05) .The incidence of postoperative shivering in observation group was 16 .00% ,which was lower than that in control group(37 .00% ) ,and the rate of successful rescue was 93% ,which was higher than that in control group(76 .00% ) .The length of stay in observation group were (10 .20 ± 5 .10)d ,which was shorter than that in control group .There were significant differences( P<0 .05) .[Conclusion]Perioperative synthetic insulation measures can reduce the incidence of maternal complications of puerpera with hemorrhagic shock , improve the success rate of operation rescue ,help the recovery of patients and shorten the hospital stay .
