不同保温措施在前列腺气化电切术中的应用效果  

Application value of different thermal insulation measures in vapor-resection of the prostate

作　　者：乔秀兰 郝会芬 袁玉红 Qiao Xiulan;Hao Huifen;Yuan Yuhong(Operating Room,Jiyuan First People’s Hospital,Jiyuan 459000,China;Department of Cardiology,Jiyuan First People’s Hospital,Jiyuan 459000,China)

机构地区：[1]济源市第一人民医院手术室,济源459000 [2]济源市第一人民医院心内科,济源459000

出　　处：《中国实用医刊》2023年第18期45-48,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨不同保温措施在前列腺气化电切术中的应用价值。方法抽取2020年1月至2021年12月于济源市第一人民医院行前列腺气化电切术的150例患者为研究对象,按照随机数字表法分为对照组和研究组,每组75例。对照组采用常规保温措施,研究组采用加温毯保温措施。对比两组患者进入手术室时(T0)、手术开始时(T1)、麻醉后30 min(T2)及手术结束时(T3)的体温、凝血指标[纤维蛋白原(FIB)、部分激活凝血活酶时间(APTT)、凝血酶原时间(PT)]、生命体征[心率(HR)、平均动脉压(MAP)]变化及术中寒战、低体温发生率。结果T2、T3时,研究组体温高于对照组(P<0.05);T1、T2、T3时,研究组FIB水平低于对照组,APTT、PT水平高于对照组(P<0.05);T1、T2、T3时,研究组HR、MAP水平低于对照组(P<0.05)。研究组术中低体温、寒战发生率(34.67%,26/75;25.33%,19/75)低于对照组(56.00%,42/75;46.67%,35/75),P<0.05。结论与常规保温措施相比,加温毯保温在前列腺气化电切术中的效果更好,能稳定患者体温和生命体征,改善凝血指标,减少术中寒战、低体温等不良事件的发生。Objective To investigate the application value of different thermal insulation measures in vapor-resection of the prostate.Methods A total of 150 patients who underwent vapor-resection of the prostate in Jiyuan First People’s Hospital from January 2020 to December 2021 were selected as research objects,and they were divided into control group and study group according to random number table method,with 75 cases in each group.The control group adopted conventional insulation measures,and the study group adopted heating blanket insulation measures.The changes of body temperature,blood coagulation indexes,including fibrinogen(FIB),activated partial thromboplastin time(APTT)and prothrombin time(PT),vital signs,including heart rate(HR)and mean arterial pressure(MAP),of the two groups were compared at entering the operating room(T0),at the beginning of surgery(T1),30 minutes after anesthesia(T2),at the end of surgery(T3).The incidence of intraoperative chills and hypothermia of the two groups were compared.Results At T2 and T3,the body temperature of the study group was higher than that of the control group(P<0.05).At T1,T2 and T3,the FIB level in the study group was lower than that in the control group,while the levels of APTT and PT were higher than those in the control group(P<0.05).At T1,T2 and T3,the levels of HR and MAP in the study group were lower than those in the control group(P<0.05).The incidence of intraoperative hypothermia and chills(34.67%,26/75;25.33%,19/75)in the study group were lower than those in the control group(56.00%,42/75;46.67%,35/75),P<0.05.Conclusions Compared with conventional thermal insulation measure,heating blanket insulation has better effects in vapor-resection of the prostate,which can stabilize the patient’s body temperature and vital signs,improve blood coagulation indexes,and reduce the occurrence of intraoperative adverse events,for example,chills and hypothermia.

关 键 词：前列腺增生 前列腺气化电切术 保温措施 加温毯 凝血功能 

分 类 号：R699.8[医药卫生—泌尿科学]