规范化体温管理对全麻经皮肾镜碎石取石术后低体温和凝血功能的影响

Effect of Standardized Body Temperature Management on Hypothermia and Coagulation Function after Percutaneous Nephrolithotripsy under General Anesthesia

目的:探讨规范化体温管理对全麻经皮肾镜碎石取石术后低体温和凝血功能的影响。方法:便利选取2021年5月至2022年5月中南大学湘雅二医院收治的72例行全麻经皮肾镜碎石取石术后患者为本次研究对象,随机将其分为A组与B组,各36例。B组患者术后进行常规保暖措施,A组患者术后进行规范化体温管理,对比两组患者凝血功能、体温恢复情况及并发症发生率。结果:管理前,两组患者凝血功能对比(P>0.05)。管理后,两组患者凝血功能均有所好转,且A组患者凝血功能优于B组(P<0.05);管理前,两组体温对比(P>0.05)。管理后,A组患者体温总恢复率为94.44%,显著高于B组患者体温总恢复率72.22%(P<0.05)。结论:全麻经皮肾镜碎石取石术的患者在手术进行过程中由于多种因素的影响极易出现体温降低的状况,采用规范化体温管理可有效帮助全麻经皮肾镜碎石取石术后患者体温上升,不仅能改善患者凝血功能,还能降低其并发症发生率,值得推广及应用。

Objective:To investigate the effect of standardized temperature management on hypothermia and coagulation function after percutaneous nephrolithotomy under general anesthesia.Methods:72 patients treated after percutaneous nephrolithotomy under general anesthesia from May 2021 to May 2022 were conveniently selected and randomly divided into group A and group B,with 36 patients in each group.The patients in group B received routine heating measures after surgery,and the patients in group A underwent standardized body temperature management after surgery.The coagulation function,body temperature recovery and incidence of complications were compared between the two groups.Results:Before management,the coagulation function of the two groups was compared(P>0.05).After management,the coagulation function of both groups was improved,and the coagulation function of group A was better than that of group B(P<0.05).Before management,the temperature of the two groups was compared(P>0.05).After management,the total body temperature recovery rate of group A was 94.44%,which was significantly higher than that of group B(72.22%)(P<0.05).Conclusion:Patients undergoing percutaneous nephrolithotomy under general anesthesia are prone to hypothermia due to the influence of various factors during the operation.Adopting standardized temperature management can effectively help the temperature rise of patients after percutaneous nephrolithotomy under general anesthesia,which can not only improve the coagulation function of patients,but also reduce the incidence of complications,which is worthy of promotion and application.