术中保温对妇科手术患者术中体温变化及凝血功能的影响

Effect of Intraoperative Warming on Body Temperature and Coagulation Function in Patients Undergoing Gynecological Surgery

目的研究妇科手术术中保温对患者体温和凝血功能的影响,以期为临应用提供理论指导。方法两组患者各50例,对照组患者进行常规手术,实验组患者进入手术室后使用保温毯进行保温,记录患者各时间点的体温和手术结束时的体温,测定患者的活化部分凝血活酶时间(APTT)。结果两组在刚进入手术室时体温状态无显著差异(P>0.05),在手术开始、进行30 min和手术结束时实验组的患者体温任然趋于平稳,而对照组患者出现低体温病例较多,二者具有统计学差异(P<0.05)。对照组手术前后APTT为(30.3±1.6),(31.7±1.9);实验组手术前后APTT为(31.7±1.2),(37.6±2.5)。二者的凝血水平在手术前并无显著差异,但是手术结束时二者差异具有显著性(P<0.05)。结论术中保温可以降低妇科手术患者低体温的发生,维持患者体温和凝血功能正常。

Objective To study the effect of thermal insulation on the body temperature and blood coagulation function during gynecological surgery, so as to provide theoretical guidance for clinical application. Methods Each of the two groups of patients in 50 cases, the control group was treated with conventional surgery, patients in the experimental group after entering the operation room of insulation blanket insulation, the end of the recording patients at each time point temperature and operation temperature, determination of activated partial thromboplastin time（APTT） patients. Results There was no significant difference in body temperature has just entered the operation room two group（P〈0.05）, at the beginning of operation, the end of the 30 minutes and during the operation of the experimental group were still temperature stable, while the control group appeared more low temperature cases, two showed a significant difference（P〈0.05）. In the control group, APTT was（30.3±1.6）,（31.7±1.9） before and after operation, and APTT in the experimental group was（31.7±1.2）,（37.6±2.5）. There was no significant difference in blood coagulation level between the two groups before operation, but there was significant difference between the two groups（P〈0.05）. Conclusion Intraoperative warming can reduce the occurrence of hypothermia in patients undergoing gynecological surgery, and maintain the normal body temperature and blood coagulation function.