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目的研究术中保温措施对妇科腹腔镜手术患者体温以及对凝血功能的效果。方法选择2015年3月~2016年4月在我院进行腹腔镜手术的患者142例,以数字随机法分为观察组和对照组各71例。观察组采用术中保温措施来加强护理,对照组采用常规护理。对比两组不同时间的体温、手术指标、凝血功能指标以及术后并发症。结果术前体温对比两组无差异,观察组在术中、术后体温均高于对照组,而手术时间、麻醉时间及术中出血量均低于对照组;两组术前TT、APTT以及FIB等指标对比无差异,术后观察组TT、APTT低于对照组,FIB水平高于对照组;观察组术后出现寒战以及胃肠功能紊乱的比例均显著低于对照组。结论术中保温对妇科腹腔镜手术患者的体温有较好为稳定作用,并且能改善凝血功能障碍,具有极好的应用效果。
Objective To study the effect of intraoperative insulation on body temperature and coagulation function in gynecological laparoscopic surgery. Methods 142 patients undergoing laparoscopic surgery in our hospital from March 2015 to April 2016 were randomly divided into observation group and control group with 71 cases in each group. Observation group using intraoperative insulation measures to strengthen nursing, control group using routine care. The body temperature, operation indexes, coagulation indexes and postoperative complications were compared between two groups at different times. Results There was no difference in preoperative body temperature between the two groups. The body temperature of the observation group was higher than that of the control group during operation and postoperatively, but the operation time, anesthesia time and intraoperative blood loss were lower than those of the control group. The preoperative TT, APTT, FIB and other indicators there was no difference between the control group postoperative observation group TT, APTT lower than the control group, FIB levels were higher than the control group; the observation group postoperative chills and gastrointestinal disorders were significantly lower than the control group. Conclusion Intraoperative heat preservation has a good effect on the body temperature of patients undergoing gynecological laparoscopic surgery, and can improve coagulation dysfunction and has an excellent application effect.