联合保温措施对妇科腹腔镜手术患者体温和凝血功能的影响

目的探讨联合保温措施对妇科腹腔镜手术患者体温和凝血功能的影响。方法将70例妇科腹腔镜手术患者随机分为实验组和对照组各35例。实验组采用充气保温毯、输液和冲洗液加温的联合保温措施，对照组给予常规护理。记录两组患者术前、手术1h时、术毕时的体温和手术的出血量，比较两组患者手术前后的凝血功能相关指标。结果与实验组患者比较，对照组手术1h时和术毕体温下降明显，术中出血量较多；术后凝血酶时间延长、纤维蛋白原和血小板计数均低于实验组，差异均有统计学意义（P〈0．05）。结论联合保温措施能够有效地防止妇科腹腔镜手术患者围术期低体温的出现，改善由低体温所致的凝血障碍，减少出血量，值得临床推广应用。

Influence of combined warming measure on intraoperative temperature and coagulation function in patients during gynecologic laparoscopic surgery

Objective To explore the influence of combined warming measure on intraoperative temperature and coagulation function in patients during gynecologic laparoscopic surgery. Methods A total of 70 patients undergoing gynecologic laparoscopic surgery were randomly divided into the intervention group ( n =35 ) and the control group ( n = 35 ). The intervention group received combined warming measure including using inflatable warming blanket, beating transfusion and rinses, while the regular nursing was performed in the control group. The core body temperature of the patients were recorded before operation, 1 hour after the beginning of operation and at the completion of operation. The amounts of blood loss were recorded as well. The index of coagulation function before and after operation were detected. Results Compared with the intervention group, the core body temperature 1 hour after the beginning of operation and at the completion of operation were lower; the amounts of blood loss were larger; the thrombin time prolonged; the fibrinogen and peripheral blood platelets were lower in the control group. There were statistical meanings in all of the defferences ( P ＜ 0. 05 ).Conclusions Combined warming measure can effectively prevent intraoperative hypothermia, improve the coagulation function disorders and reduce the amounts of blood loss. The method can be used in clinic widely.