CAJ | 학술논문

目的:探讨术中保温护理对肝癌患者低体温反应及凝血功能的影响,提高手术安全性.方法:将60例肝癌患者随机分成观察组和对照组各30例,观察组实施保温护理,对照组采用传统护理措施,比较两组患者低体温发生率和凝血功能各项指标变化情况. 结果:两组患者术中液体输入量、术中输血量和手术时间相似,差异无统计学意义( P>0.05). 手术过程中观察组低体温发生率6.67%,低于对照组的30.00%,差异有统计学意义( P<0.05). 手术前后观察组患者PT、TT、APTT和FIB水平变化不大,差异无统计学意义(P>0.05),但是对照组患者手术结束时PT、TT、APTT和FIB水平与术前比较显著变化,差异有统计学意义( P<0.05). 结论:肝癌手术过程中采用保温护理可以有效预防术中低体温的发生,保护凝血功能,值得临床推广应用.
목적:탐토술중보온호리대간암환자저체온반응급응혈공능적영향,제고수술안전성.방법:장60례간암환자수궤분성관찰조화대조조각30례,관찰조실시보온호리,대조조채용전통호리조시,비교량조환자저체온발생솔화응혈공능각항지표변화정황. 결과:량조환자술중액체수입량、술중수혈량화수술시간상사,차이무통계학의의( P>0.05). 수술과정중관찰조저체온발생솔6.67%,저우대조조적30.00%,차이유통계학의의( P<0.05). 수술전후관찰조환자PT、TT、APTT화FIB수평변화불대,차이무통계학의의(P>0.05),단시대조조환자수술결속시PT、TT、APTT화FIB수평여술전비교현저변화,차이유통계학의의( P<0.05). 결론:간암수술과정중채용보온호리가이유효예방술중저체온적발생,보호응혈공능,치득림상추엄응용.
Objective: To investigate the effects of intra-operative heat-preservation nursing on the blood coagulation function and hypothermia incidence in patients with hepatocarcinoma, so as to elevate the surgery safety.Method:A total of 60 patients with hepatocarcinoma were randomly divided into observation group and control group, with 30 patients in each group.The observation group used heat-preservation nurs-ing, while the control group used traditional nursing care, and the changes in blood coagulation function and body temperature were compared between the patients of the two groups.Result: The patients of the two groups had similar intra-operative fluid infuse volumes and operative times, and the differences were statisti-cally insignificant ( P>0.05) .The incidence of intra-operative hypothermia of the observation group was 6. 67%, lower than that of the control group (30.00%), and the difference was statistically significant (P<0. 05) .At the end of surgery, the patients of the observation group had insignificantly changed PT, TT, APTT, and FIB levels (P>0.05), but the patients of the control group had significantly changed PT, TT, APTT, and FIB levels when compared with those before the surgery ( P<0.05) .Conclusion: Heat-preser-vation nursing during the surgery for hepatocarcinoma can effectively prevent from the occurence of intra-op-erative hypothermia, protect the blood coagulation function, and consequently is worthy of clinical applica-tion.