保温护理对人工膝关节置换术患者术中应激及凝血功能的影响  

Effects of Heat- preservation Nursing on the Coagulation Function and Stress Reaction in Patients with Total Knee Prosthesis Replacement

作　　者：付莉[1] 张萍[1] 张戈[1] 陈位兰 

机构地区：[1]四川省泸州市人民医院,四川泸州646000 [2]四川省叙永县人民医院,四川叙永646400

出　　处：《河北医学》2014年第12期2099-2102,共4页Hebei Medicine

基　　金：四川省卫生厅项目;(编号:120389)

摘　　要：目的:探讨术中采用保温护理对人工膝关节置换术患者术中应激及凝血功能的影响,预防低体温发生率。方法:将80例患者分为观察组和对照组各40例,对照组采用常规保温护理措施,观察组在此基础上应用保温护理,观察两组患者术中体温、应激及凝血功能变化等。结果:手术过程中观察组低体温发生率5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。观察组液体输入量及手术时间与对照组相似,差异无统计学意义(P>0.05)。手术结束时两组患者AD、NE及CRP水平较术前均升高,但是观察组升高幅度较对照组小,差异有统计学意义(P<0.05)。手术结束时观察组患者PT、TT、APTT和FIB水平与术前比较变化不大,差异无统计学意义(P>0.05),但是对照组患者手术结束时PT、TT、APTT和FIB水平与术前比较显著变化,差异有统计学意义(P<0.05)。结论:人工膝关节置换术中采用保温护理措施,可有效预防术中低体温发生,减轻手术应激,保护凝血功能,降低手术风险,值得临床推广应用。To investigate the effects of intra-operative heat-preservation nursing on the co-agulation function and stress reaction in patients with total knee prosthesis replacement , and to prevent from hypothermia incidence .Method：80 patients were divided into observation group and control group , 40 pa-tients in each group;the control group used routine heat-preservation measures , while the observation group used heat-preservation nursing additionally , and the body temperatures , stress reactions and coagulation function changes and so on in the patients of the two groups were observed .Result：The intra-operative hy-pothermia incidence of the observation group was 5.00%, which was lower than that of the control group （ 20. 00%） , and the difference was statistically significant （ P〈0.05 ） .The infused fluid volume and operative time of the observation group were similar with those of the control group , and the differences were statistical-ly insignificant （P〉0.05）.At the end of surgery, the AD, NE and CRP levels in the patients of both groups were increased when compared with those before the surgery , but the increasing extents of the observation group were smaller than those of the control group , and the differences were statistically significant （ P〈0. 05）.At the end of surgery, the PT, TT, APTT and FIB levels in the patients of the observation group were insignificantly different from those before the surgery , and the differences were statistically insignificant （ P〉0.05）; but at the end of surgery , the PT, TT, APTT and FIB levels in the patients of the control group were significantly different from those before the surgery , and the differences were statistically significant （ P〈0. 05）.Conclusion： Heat-preservation nursing measures in total knee prosthesis replacement can effectively prevent from intra-operative hypothermia , lighten intra-operative stress reaction , protect coagulation func-tion and decrease surgery risks , and is consequently worthy of clinical appl

关 键 词：保温护理 低体温 术中应激 凝血功能 人工膝关节置换术 

分 类 号：R473.6[医药卫生—护理学]