加温输液对乳癌根治术病人出凝血机制的影响  

Effect of Heated Transfusion on Bleeding and Blood Coagulation Mechanism in the Patients Receiving Radical Operation of Mastocarcinoma

作　　者：陈光华[1] 李淑琴[2] 董宁蝉[3] 王月凤[3] 孙小菊[3] 李金娜[1] 

机构地区：[1]西安交通大学第二医院护理部,西安710004 [2]西安交通大学第二医院检验科,西安710004 [3]西安交通大学第二医院手术室,西安710004

出　　处：《护理学杂志（综合版）》2002年第2期83-85,共3页Journal of Nursing Science

基　　金：西安交通大学第二临床医学院资助项目 (NO.KG- 99- 5 3)

摘　　要：目的减少病人术中出血。方法将 80例乳癌根治术病人随机分成观察组 (加温输液 )和对照组 (室温输液 )各 40例。观察组在手术过程中输入加温液体 (37～ 38℃ ) ,腹部以下盖保温毯 ,使肛温保持在 36～ 37℃ ;对照组输入室温液体 (2 0～ 2 1℃ ) ,不用保温毯。比较两组术后体温、出血量、输血量及部分凝血项目测定值。结果观察组与对照组手术终止和手术后 2 h体温比较 ,均 P<0 .0 5 ,差异有显著性意义 ;术中出血量、输血量比较 ,均 P<0 .0 1,差异有极显著性意义 ;术后血小板 (PL T)计数、凝血酶原活动度 (PT% )及纤维蛋白原含量 (FIB)比较 ,均 P<0 .0 5 ,差异有显著性意义。结论加温输液可使病人术中术后的体温维持正常 。Objective To reduce the bleeding of the patients during operation. Methods Eighty patients receiving radical operation of mastocarcinoma were randomly divided into observation group (heated transfusion) and control group (transfusion at room temperature) equally. In the observation group, the hearted solution at 37℃ to 38℃ was transfused, the portion below the abdomen was covered with heated carpet and the rectal temperature maintained at 36℃ to 37℃ during operation. The patients in the control group received the transfusion of room temperature solution (20℃ to 21℃). The body temperature, bleeding amount, blood transfusion amount and part blood coagulation items after operation were compared between the two groups. Results There was significant difference in body temperature immediate after operation and 2 h after operation between the two groups ( P <0 05). There was very significant difference in intra operative bleeding volume and blood transfusion volume between the two groups ( P <0 01). There was significant difference in postoperative PLT amount, PT % and the content of FIB between the two groups ( P <0 05). Conclusion Heated transfusion could maintain the temperature of the patients during and after operatin to be normal and ruduce the bleeding volume.

关 键 词：乳癌根治术 加温输液 凝血机制 肿瘤科护理 

分 类 号：R473.73[医药卫生—护理学] R737.9[医药卫生—临床医学]