术中保温护理对肝癌患者低体温发生率及凝血功能的影响

Effects of Intra- operative Heat- preservation Nursing on the Blood Coagulation Function and Hypothermia Incidence in Patients with Hepatocarcinoma

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。

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.