术中保温对低体温创伤手术患者预后的影响

目的观察保温对低体温创伤手术患者预后的影响。方法选择创伤严重度评分（ISS）16～40分，且肛温〈36℃的需入手术室进行手术的创伤患者80例，随机分为保温组及对照组各40例。2组均在室温下手术，保温组采用各种措施保持肛温≥36℃，对照组体温未施加干预，观察2组患者术后苏醒时间、住院时间、伤口感染发生情况、住院死亡率。结果与对照组相比，保温组患者苏醒时间、住院时间显著缩短（P〈o．05），伤口感染发生率、术后死亡率显著降低（P〈0．05）。结论术中采取保温措施可以明显缩短低体温创伤患者苏醒时间和住院时间，减少伤口感染发生率及住院死亡率。

Effect of insulation during surgery on the prognosis of hypothermic trauma patients

Objective To investigate the effect of insulation during surgery on the prognosis of hypothermic trauma patients. Methods Trauma patients （80 cases） with injury severity score （ISS） of 16-40 and anal temperature 〈 36 ℃ ,were selected and randomly divided into the insulation group and the control group with 40 cases in each group.Both operations went along under room temperature. The in- sulation group keep anal temperature ≥ 36 ℃,while the control group received no insulation intervention.The palinesthesia time,time length of hospital stay,infection of wound and fatality were observed in the two groups. Results The palinesthesia time and time length of hospital stay dramatically shortened,the infection rate of Wound and fatality reduced in the insulation group compared with that of the control group （P 〈 0.05）. Conclusions Insulation during surgery can significantly shorten the palinesthesia time and time length of hospital stay,reduce the infection rate of wound and fatality.