论文部分内容阅读
目的探讨肝叶切除术中围术期保温对肝癌患者出血量的影响。方法择期肝癌手术患者60例,随机分为观察组和对照组各30例。对照组术中不采用任何升温装置,观察组患者术中采用输液加温器及充气保温毯加温。所有患者用鼻咽温度探头监测其术前、术中、术后体温变化、凝血功能指标及术中出血量,并进行比较。结果观察组体温高于对照组体温(P<0.05),使用保温毯加温后30min体温明显高于入室后体温(P<0.05),使用保温毯加温30min以后不同时间点体温比较差异无统计学意义(P>0.05)。观察组出血量与对照组比较明显减少,差异具有统计学意义(P<0.01)。结论对肝癌患者行肝叶切除手术过程中使用输液加温器和保温毯,可有效维持患者正常体温,减少术中出血量。
Objective To investigate the effect of perioperative heat preservation on the amount of hemorrhage in patients with liver cancer undergoing hepatectomy. Methods Sixty patients with elective liver cancer surgery were randomly divided into observation group and control group with 30 cases each. The control group did not use any heating device in the operation group, and the patients in the observation group were treated with infusion warmer and inflatable insulation blanket during operation. All patients with nasopharyngeal temperature probe to monitor its preoperative, intraoperative and postoperative changes in body temperature, coagulation parameters and intraoperative blood loss, and compared. Results Body temperature in the observation group was significantly higher than that in the control group (P <0.05). The body temperature at 30 minutes after using the blanket warming was significantly higher than that after the warm-in (P <0.05). There was no statistical difference in body temperature at different time points Significance (P> 0.05). The amount of bleeding in the observation group was significantly reduced compared with the control group, the difference was statistically significant (P <0.01). Conclusions The hepatic lobectomy in patients with liver cancer using infusion warmer and insulation blanket during the operation, can effectively maintain the normal body temperature and reduce intraoperative bleeding.