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目的探讨不同保温措施在妇科手术中的应用效果。方法回顾性分析2014年10月~2015年12月86例于我院行妇科手术的患者资料,将所有患者根据不同的保温措施分为对照1组28例、对照2组28例和研究组30例,对照1组患者采用单层薄棉被进行保暖,对照2组在1组的基础上于术中使用输液加温器及电恒温箱对输注液体及腹腔冲洗液进行加温,研究组患者在以上两组的基础上采用患者加温系统保暖,对比三组患者术前、术中以及术后的体温及心率变化。结果三组患者入室时及麻醉后体温比较差异无统计学意义(P>0.05),但研究组术中及术后体温、麻醉后至术后心率与对照组比较差异有统计学意义(P<0.05)。结论妇科手术中患者采用病员加温系统保暖能有效地保持患者的生命体征处于稳定状态,有助于提高手术成功率,降低围手术期并发症的发生风险,具有一定的临床应用价值。
Objective To explore the effect of different insulation measures in gynecological surgery. Methods A retrospective analysis of 86 patients with gynecological surgery in our hospital from October 2014 to December 2015 was conducted. All patients were divided into control group (28 cases), control group (28 cases) and research group (30 cases) according to different insulation measures For example, the control group 1 patients with a single layer of thin cotton was warm, the control group 2 in group 1 on the basis of intraoperative use of infusion warmer and electric incubator infusion fluid and peritoneal washings were heated, the study group Patients in the above two groups based on the use of warm heating system, compared three groups of patients before, during and after the body temperature and heart rate changes. Results There was no significant difference in body temperature between the three groups at entry and after anesthesia (P> 0.05). However, there was significant difference between the study group in body temperature and postoperative anesthesia and postoperative heart rate compared with the control group (P < 0.05). Conclusion In patients with gynecological surgery, warming the patient’s heating system can effectively keep the patient’s vital signs in a stable state, which can help to improve the success rate of operation and reduce the risk of perioperative complications, and has certain clinical value.