围手术期体温前瞻性保护结合目标导向液体治疗对冠脉搭桥术患者血流动力学指标与凝血指标的影响  

Effect of Perioperative Temperature Prospective Protection Combined with Targeted Liquid Therapy on Hemodynamic and Coagulation Indicators in Patients Undergoing Coronary Artery Bypass Grafting Surgery

作　　者：李聪 李阳阳 田振宇[1] LI Cong;LI Yangyang;TIAN Zhenyu(The Sixth Ward of Cardiovascular Surgery,Henan Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院心血管外科六病区,河南郑州450000

出　　处：《河南医学研究》2024年第14期2669-2672,共4页Henan Medical Research

摘　　要：目的分析围手术期体温前瞻性保护结合目标导向液体治疗对冠脉搭桥术患者血流动力学及凝血指标的影响。方法择取河南省胸科医院2021年1月至2022年12月收治的100例冠脉搭桥手术(体外循环下冠状动脉旁路移植术)患者为观察对象,采用抽签法随机分为对照组(50例)、观察组(50例),前者接受围手术期体温前瞻性保护,后者在其基础上增加目标导向液体治疗,对比两组患者血流动力学指标、凝血指标。结果观察组在不同时间段的血流动力学优于对照组(P<0.05)。术后观察组患者凝血功能水平优于对照组(P<0.05)。结论针对冠脉搭桥手术患者实施围手术期体温前瞻性保护结合目标导向液体治疗,能够改善患者的凝血状态,获取更为稳定的血流动力学水平,值得推广。Objective To analyze the impact of perioperative temperature prospective protection combined with targeted liquid therapy on hemodynamics and coagulation indicators in patients undergoing coronary artery bypass grafting.Methods A total of 100 patients undergoing coronary artery bypass grafting surgery admitted to Henan Chest Hospital from January 2021 to December 2022 were selected as observation subjects.They were randomly divided into control group(50 cases)and observation group(50 cases)using a lottery method,the former received prospective perioperative temperature protection,while the latter received targeted liquid therapy on top of it.The hemodynamic and coagulation indicators of the two groups of patients were compared.Results The hemodynamics of the observation group were better than those of the control group at different time periods(P<0.05).The postoperative coagulation function level of the observation group was better than that of the control group(P<0.05).Conclusion The implementation of perioperative temperature prospective protection combined with targeted liquid therapy for patients undergoing coronary artery bypass grafting surgery can improve their coagulation status and obtain more stable hemodynamic levels,which is worth promoting.

关 键 词：冠脉搭桥手术 围手术期 体温前瞻性保护 目标导向液体治疗 血流动力学 

分 类 号：R654.2[医药卫生—外科学]