充气加温法联合输液加温对颅脑肿瘤开颅手术患者术后有效性的影响

Effectiveness of Inflation heating combined with infusion heating on postoperative patients undergoing craniotomy for brain tumors

目的探讨颅脑肿瘤开颅手术患者行充气加温法联合输液加温对其术后有效性的影响。方法选取我院收治的颅脑肿瘤开颅手术患者120例,随机均分两组,各60例。对照组采用常规保温措施,试验组采用常规保温措施基础上行充气加温联合输液加温法。比较两组术前、术后各项凝血指标(PT、TT、APTT);术前、开颅手术1h、术毕时的体温;复苏和苏醒时间、不良反应发生情况、失血量。结果术后,试验组凝血功能与术前比较差异无统计学意义(P>0.05),对照组较术前与试验组均延长(P<0.05),术中1h、术后,试验组体温高于对照组(P<0.05),试验组复苏时间及苏醒时间短于对照组(P<0.05),试验组术毕及术后3h、12h、24h的失血量(引流量)均低于对照组(P<0.05),试验组不良反应发生率低于对照组(P<0.05)。结论对颅脑肿瘤开颅手术患者围术期使用充气加温法联合输液加温处理措施,能够改善低体温所致凝血功能下降,维持体温平衡,减少失血量、输液量,缩短复苏和苏醒时间,降低不良事件发生风险,促进患者快速康复,改善预后。

Objective To explore the effectiveness of inflation heating combined with infusion heating on postoperative patients undergoing craniotomy for brain tumors.Methods A total of 120 patients with craniocerebral tumor craniotomy in our hospital were selected,and randomly divided into two groups,the control group was treated with routine heat preservation,the test group was treated with inflatable heating method combined with infusion heating on the basis of the control group,60 cases in each;several indicators in the two groups was compared:for example,various coagulation indicators(PT,TT,APTT)before and after surgery;1 hour after craniotomy and body temperature at the end of the operation;resuscitation and recovery time,occurrence of adverse reactions,blood loss.Results There was no statistically significant difference in coagulation function in the test group compared with preoperative(P>0.05),while the two groups is longer compared with preoperative(P<0.05).In one hour during the operation and after the operation,the body temperature in the test group was higher than that in the control group(P<0.05),the resuscitation time and wake-up time in the test group were shorter than those in the control group(P<0.05).The blood loss(drainage volume)in the test group after the operation and 3 h,12 h,24 hafter the operation was lower than that in the control group(P<0.05).Conclusion The inflatable heating method combined with infusion heating in craniocerebral tumor craniotomy can improve the decrease of coagulation function caused by low body temperature,maintain body temperature balance,reduce blood loss,infusion,reduce recovery and wake-up time,reduce the risk of adverse events and Improve prognosis.