术中保温护理对手术患者凝血功能及低体温发生率的效果分析

Effect of Intraoperative Warming Care on Coagulation Function and Incidence of Hypothermia in Patients Undergoing Surgery

目的对手术患者给予术中保温护理分析研究患者凝血功能及低体温发生率的临床效果。方法从该院收治的手术患者中方便选取2017年6月—2018年5月60例做为该次的研究对象。其中2017年6—11月30例作为对照组;2017年12月—2018年5月30例作为观察组。对对照组患者采取术中常规护理,对观察组患者在常规护理的基础上给予保温护理,对两组患者不同护理方式所产生的临床效果进行对比,观察分析两组患者凝血功能及低体温发生率情况。结果两组患者术前凝血功能凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血酶时间(APTT)差异无统计学意义(P>0.05)。术后对照组凝血酶原时间(PT)指标(19.92±1.63)s劣于观察组(12.60±1.58)s(t=16.724,P=0.000);对照组凝血酶时间(TT)指标(20.31±1.45)s劣于观察组(12.75±1.19)s(t=18.873,P=0.000);对照组活化部分凝血酶时间(APTT)指标(48.09±6.15)s劣于观察组(37.62±4.41)s(t=7.583,P=0.000),两组患者以上凝血指标差异有统计学意义(P<0.05)。两组患者术中低体温发生率对比,对照组发生7例,发生率为23.33%,观察组发生2例,发生率为6.67%(χ^2=4.059,P=0.028)对照组明显劣于观察组,差异有统计学意义(P<0.05)。结论对手术患者给予术中保温护理可有效保护患者凝血功能,降低其低体温发生率,值得临床推广。

Objective To analyze the clinical effects of coagulation function and hypothermia incidence in patients undergoing intraoperative intensive nursing care.Methods Sixty patients from June 2017 to May 2018 were convenient selected as the subjects of the study.Among them,30 cases from June to November 2017 were used as the control group;30 cases from December 2017 to May 2018 were used as observation groups.The patients in the control group were treated with routine nursing.The patients in the observation group were given insult care on the basis of routine nursing.The clinical effects of different nursing methods were compared between the two groups.The coagulation function and hypothermia occurrance rate situation in the two groups.Results There were no significant differences in preoperative coagulation function prothrombin time(PT),thrombin time(TT),and activated partial thrombin time(APTT)between the two groups(P>0.05).The postoperative prothrombin time(PT)index(19.92±1.63)s was worse than that of the observation group(12.60±1.58)s(t=16.724,P=0.000);the control group thrombin time(TT)index(20.31±1.45)s was inferior to the observation group(12.75±1.19)s(t=18.873,P=0.000);the active partial thrombin time(APTT)index(48.09±6.15)s was inferior to the observation group(37.62±4.41)s(t=7.583,P=0.000),the difference in coagulation parameters between the two groups was statistically significant(P<0.05).The incidence of hypothermia in the two groups was compared in the control group,7 cases occurred in the control group,the incidence rate was 23.33%,and the observation group occurred in 2 cases,the incidence rate was 6.67%(χ^2=4.059,P=0.028)the control group was obviously inferior to the observation.The difference was statistically significant(P<0.05).Conclusion Intraoperative intensive care for patients with surgery can effectively protect patients'coagulation function and reduce the incidence of hypothermia,which is worthy of clinical promotion.