围术期体温保护对肝癌患者行肝叶切除术中出血量的影响

目的探讨肝叶切除术中固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，观察纽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。

EFFECTS OF INTRAOPERATIVE WARMING ON BLOOD LOSS AMONG PATIENTS WITH LIVE LOBECTOMY OF LIVE CANCER

Objective To explore the effect of intraoperative warming on blood loss among patient with lobectomy of live. Methods 60 patients were divided by mode of live lobectomy into the control group and the experimental group, there were 30 patients in each group. 30 cases in control group did not use insulation blanket and 30 cases in experimental group used insulation blanket. All the patients" body temperatures were monitored by nasopharynx probes. The intra - operative warming method was only used in the experimental group, and then compared with those of preoperative, middle and postoperative temperature, and the blood loss volumes. Results The body temperatures of experimental group were higher than that of control group (P＜0. 05). Thanks to 30 minutes' warming by insulation blanket in the patients in experimental group, the temperatures were obviously higher than those before they entered operation room (P＜0. 05). And with the help of 30 minutes' warming of insulation blanket, there was no significant difference during the process of operation (P＞0.05). All the indexes which had monitored in the experimental group were better than those in the control group (P＜0. 01). Conclusion The intra - operative warming method can effectively reduce the blood loss volume for patients with live lobectomy.