新生儿腹部手术术中体温和凝血功能变化的研究

Study on temperature and coagulation function of neonate abdominal surgery during undergoing operation

目的探讨新生儿腹部手术对患儿术中体温和凝血功能的影响。方法将60例择期全麻下行腹部手术的患儿随机分为对非保温组和保温组，各30例。保温组给予充气式保温毯等综合保温措施，观察两组患儿术中体温变化和凝血功能变化。结果保温组患者术中体温保持较恒定，各时间点间比较差异无统计学意义；非保温组患儿体温随手术时间的延长，体温进行性下降，60min后各时间点温度值与基础值比较差异有统计学意义，且与保温组比较差异亦有统计学意义。非保温组术后与术前比较PLT、PT、APTT、FBG差异均有统计学意义。结论术中使用综合保温措施有利于保持新生儿术中体温和凝血功能稳定。

Objective To explore the influence of neonate abdominal surgery on patients, temperature and the function of blood coagulation. Methods Sixty neonates scheduled for elective abdominal surgery under general anesthesia, were enrolled in the study. The patients were randomly divided into 2 groups：unheated preservation group（ n = 30 ） and warming group（ n = 30 ）. In the warming group, patients were additionally warmed with fluid warming device and forced-air warming system. The perioperative body temperature and the function of blood coagulation in the two groups were observed. Results The temperature kept smooth in the experiment group all the times, Compared with the base data, the temperature in the controlled group is lower from 60 minutes after induction of general anesthesia to the end of surgery, which is statistically different with the experiment group. There are statistical difference in PLT,PT,APTr and FBG between pre-operation and post-operation in the controlled group. Conclusion Fluid warming system and forced-air warming system can propitiously keep the perioperative body temperature and the coagulation function of neonate stable.