保温输液对引产患者术后体温及凝血功能的影响

目的探讨保温输液对引产患者术后体温及凝血功能的影响。方法将80例引产术后患者随机分为保温输液组（观察组）和常温输液组（对照组），每组各40例。对照组患者在非保温方式下静脉输注室温液体，观察组患者静脉输注恒温加热液体（36℃）。比较两组患者输液前后体温变化、热量丢失量、术后失血量及凝血功能情况。结果对照组患者输液后体温有不同程度下降，观察组患者无明显变化，两组比较，P〈0．05，差异具有统计学意义。两组患者凝血功能中的凝血酶原时间（prothrombintime，PT）、活化部分凝血活酶时间（activatedpartialthromboplastintime，AFFr）和凝血酶时间（thrombintime，ITT）比较，均P〉0．05，差异无统计学意义，但血小板（platelet，PLT）和纤维蛋白原含量（fibrinogen，FIB）均明显降低，两组比较，均P〈0．05，差异具有统计学意义；观察组患者术后失血量明显少于对照组，两组比较，P〈0．05，差异具有统计学意义。结论保温输液可为引产患者保持体温，维持正常凝血功能，减少失血量，可减少引产术后的不良反应。

Effect of the constant temperature infusion on postoperative body temperature and blood coagulation of patients undergoing induced labor

Objective To explore the constant temperature infusion on postoperative body temperature and blood coagulation of patients undergoing induced labor. Methods Eighty patients undergoing induced labor were divided into the observation group and the control group randomly： In the former the infusion was done using fluids constantly kept at the temperature of 36℃ and in the latter, the infused fluid was kept at room temperature. The two groups were compared in terms of changes of body temperatures, loss of energy, postoperative blood loss and blood coagulation. Results The temperatures of the controls were declined to different extents after infusion and the temperatures of the observation group showed no significant change, but the difference between the two groups was significant （P 〈 0.05）. As for the blood coagulation, there were no significant differences in the prothrombin time （PT）, activated partial thromboplastin time （AP3T） and thrombin time （TT） between the two groups （P 〉 0.05）, but the platelet （PLT） and fibrinogen （FIB） content were significantly decreased （P 〈 0.05） and the blood loss of the observation group was significantly less than those in the control group （ P 〈 0.05）. Conclusion The constant temperature infusion may maintain the temperature and blood coagulation of the patients, reduce blood loss and prevent adverse reactions induced by induced labor.