手术室术中保温对老年股骨骨折患者出血量、体温及术后凝血功能的影响

Effect ofIntraoperative heat Preservation in Operating room on Blood loss,body Temperature and Postoperative Coagulation Function in Elderly Patients with Femoral Fracture

目的 探讨老年股骨骨折患者经外科手术治疗过程中提供手术室保温干预对其出血量、体温及术后凝血功能的影响情况.方法 对照组予以常规手术室保温护理措施,研究组予以手术室常规保温护理基础上加用综合性保温干预措施.结果 两组手术前体温测量结果 对比无差异,术中研究组出血量显著少于对照组(P<0.05),研究组术中体温较术前对比并无显著变化(P>0.05),对照组术中体温较术前显著下降(P<0.05);两组老年股骨骨折患者手术前aPTT、TT、PT、Fbg等凝血功能相关指标对比无差异(P>0.05),手术后研究组aPTT、TT、PT、Fbg等凝血功能相关指标与术前对比并无显著变化(P>0.05),对照组术后aPTT、TT、PT水平均较手术前显著下降,而该组术后Fbg水平则较术前显著上升(P<0.05).结论 应用常规手术室保温措施基础上加用综合性保温干预可显著提高老年股骨骨折患者术中保温效果,对降低其术中出血量、减少术中体温下降幅度、保障机体凝血功能等均具有积极意义.

Objective To investigate the effect of operation room heat preservation on blood loss,body temperature and coagulation function in elderly patients with femoral fracture.Methods The control group was given routine operation room heat preservation nursing measures,and the study group was treated with comprehensive heat preservation intervention measures on the basis of routine operation room heat preservation nursing.Results The blood loss in the study group was significantly lower than that in the control group(P<0.05),the body temperature in the study group had no significant change compared with the preoperative contrast(P>0.05),and the body temperature in the control group was significantly lower than that before operation(P<0.05);There were no significant changes in coagulation function between the two groups(P>0.05),but there was no significant difference between the two groups before and after operation(P>0.05).In the control group,the level of aPTT、PT、TT was significantly lower than that before operation(P>0.05),and that in the control group was significantly lower than that before the operation(P>0.05),The level of Fbg after operation was significantly higher than that before operation(P<0.05).Conclusion The application of conventional thermal insulation in operating room combined with comprehensive thermal insulation intervention can significantly improve intraoperative thermal insulation in elderly patients with femoral fracture.The effect has positive significance to reduce the amount of intraoperative bleeding,reduce the decrease of body temperature during the operation,and ensure the coagulation function of the body.