不同温度冲洗液对经皮肾镜碎石取石术患者的影响  

作　　者：周禄强[1] 龚桂芝[1] 孙榕[1] 袁小娟[1] 李思月[1] 李龙坤[1] 

机构地区：[1]第三军医大学新桥医院泌尿外科,重庆400037

出　　处：《湖南中医药大学学报》2016年第A02期661-661,共1页Journal of Hunan University of Chinese Medicine

基　　金：新桥医院院管护理临床基金：2013XQHLYG-06

摘　　要：目的观察经皮肾镜手术中不同温度冲洗液对手术患者的影响.方法将180例经皮肾镜手术患者随机分为3组,每组60例.A室温组（22～24℃）,B中等温度组（32～34℃）,C等体温组（36～38℃）.3组患者均在相同室温及相对湿度下进行手术,观察3组患者在手术前后体温、电解质和凝血四项的变化以及术中出血量的观察.结果术毕时A组患者体温下降幅度最大,差异有显著性（P〈0.05）,B组和C组患者差异无显著性.C组患者出血量最大,与A组和B组比较差异均有显著性（P〈0.05）.术毕A组Cl下降明显,与B组和C组比较,差异有显著性（p〈0.05）.结论经皮肾碎石取石术患者采用中等温度组（32～34℃）的冲洗液,对经皮肾镜手术患者的影响最小,最值得推广.Objective To observe percutaneous nephrolithotomy surgery at different temperatures of liquid use on surgical patients. Methods 180 cases of percutaneous nephrolithotomy surgery were randomly divided into three groups ,there were 60 patients in each group, A group （22 ～24 ℃）, B group （32 ～34 ℃） and C group （36 ～38 ℃ ）. The 3 groups surgery at the same temperature and relative humidity, observe the three groups of patients before surgery, body temperature, electrolyte and coagulation changes and observe the amount of bleeding. Results After the surgery, the temperature of patients in group A declined largest. The maximum amount of bleeding in patients with group C. The Cl of group A surgery decreased significantly compared with group B and group C. Conclusion Percutaneous nephrolithotomy lithotripsy patients with moderate temperatures group （32 ～34℃ ） of fluid, the impact of percutaneous nephrolithotomy surgery smallest, most worthy of promotion.

关 键 词：经皮肾镜 冲洗液 温度 影响 

分 类 号：R2[医药卫生—中医学]