CAJ | 학술논문

　　目的探讨保温输液对引产患者术后体温及凝血功能的影响。方法将80例引产术后患者随机分为保温输液组（观察组）和常温输液组（对照组），每组各40例。对照组患者在非保温方式下静脉输注室温液体，观察组患者静脉输注恒温加热液体（36℃）。比较两组患者输液前后体温变化、热量丢失量、术后失血量及凝血功能情况。结果对照组患者输液后体温有不同程度下降，观察组患者无明显变化，两组比较，P＜0.05，差异具有统计学意义。两组患者凝血功能中的凝血酶原时间（prothrombin time，PT）、活化部分凝血活酶时间（activated partial thromboplastin time，APTT）和凝血酶时间（thrombin time， TT）比较，均P＞0.05，差异无统计学意义，但血小板（platelet，PLT）和纤维蛋白原含量（fibrinogen，FIB）均明显降低，两组比较，均P＜0.05，差异具有统计学意义；观察组患者术后失血量明显少于对照组，两组比较，P＜0.05，差异具有统计学意义。结论保温输液可为引产患者保持体温，维持正常凝血功能，减少失血量，可减少引产术后的不良反应。
　　목적탐토보온수액대인산환자술후체온급응혈공능적영향。방법장80례인산술후환자수궤분위보온수액조（관찰조）화상온수액조（대조조），매조각40례。대조조환자재비보온방식하정맥수주실온액체，관찰조환자정맥수주항온가열액체（36℃）。비교량조환자수액전후체온변화、열량주실량、술후실혈량급응혈공능정황。결과대조조환자수액후체온유불동정도하강，관찰조환자무명현변화，량조비교，P＜0.05，차이구유통계학의의。량조환자응혈공능중적응혈매원시간（prothrombin time，PT）、활화부분응혈활매시간（activated partial thromboplastin time，APTT）화응혈매시간（thrombin time， TT）비교，균P＞0.05，차이무통계학의의，단혈소판（platelet，PLT）화섬유단백원함량（fibrinogen，FIB）균명현강저，량조비교，균P＜0.05，차이구유통계학의의；관찰조환자술후실혈량명현소우대조조，량조비교，P＜0.05，차이구유통계학의의。결론보온수액가위인산환자보지체온，유지정상응혈공능，감소실혈량，가감소인산술후적불량반응。
Objective To explore the constant temperature infusion on postoperative body temperature and blood coagulation of patients undergoing induced labor.Methods Eighty patients undergoing induced labor were divided into the observation group and the control group randomly:In the former the infusion was done using fluids constantly kept at the temperature of 36℃and in the latter,the infused fluid was kept at room temperature.The two groups were compared in terms of changes of body temperatures,loss of energy,postoperative blood loss and blood coagulation.Results The temperatures of the controls were declined to different extents after infusion and the temperatures of the observation group showed no significant change,but the difference between the two groups was significant(P<0.05).As for the blood coagulation,there were no significant differences in the prothrombin time(PT),activated partial thromboplastin time(APTT)and thrombin time(TT)between the two groups(P>0.05),but the platelet(PLT)and fibrinogen(FIB) content were significantly decreased(P<0.05)and the blood loss of the observation group was significantly less than those in the control group(P<0.05).Conclusion The constant temperature infusion may maintain the temperature and blood coagulation of the patients, reduce blood loss and prevent adverse reactions induced by induced labor.