多维保温措施在卵巢囊肿手术围术期中的应用效果  

Application effect of the multidimensional warming measures for patients with ovarian cyst surgery during perioperative period

作　　者：陈永军 马启刚 赵鸿为 季莉 赵建琴 CHEN Yongjun;MA Qigang;ZHAO Hongwei;JI Li;ZHAO Jianqin(Lu'an Hospital of Traditional Chinese Medicine,Lu'an,Anhui Province,237000;Jiangning Hospital Affiliated to Nanjing Medical University,Nanjing)

机构地区：[1]安徽省六安市中医院,237000 [2]南京医科大学附属江宁医院

出　　处：《中国计划生育学杂志》2024年第11期2569-2573,2579,共6页Chinese Journal of Family Planning

摘　　要：目的:探讨多维保温措施在卵巢囊肿手术中的应用效果。方法:选取2021年9月-2023年9月本院卵巢囊肿手术患者98例,随机数字表法分为对照组和观察组各49例。两组均给予常规护理及术后快速康复措施,围术期对照组予以常规保温措施、观察组予以多维保温措施。比较两组术后恢复、不同时点患者鼻咽温度及手术前后凝血功能[纤维蛋白原(FIB)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、凝血酶时间(TT)、D-二聚体(DD)]、苏醒期寒战发生率、术后并发症发生情况。结果:术中30 min(T1)、术毕即刻(T2)观察组鼻咽温度(36.53±0.18℃、36.50±0.21℃)高于对照组(36.40±0.19℃、36.38±0.22℃),观察组术后苏醒时间(24.26±5.28min)、肠功能恢复时间(1.46±0.44d)、拔管时间(26.48±5.31min)及住院时间(4.15±1.26d)均短于对照组(31.12±5.34min、2.03±0.51d、33.85±5.06min、5.02±1.30d),术毕4 h(T3)观察组APTT(24.09±3.29s)、PT(11.75±1.03s)、TT(13.51±0.95s)水平均高于对照组(22.25±3.01s、10.83±1.04s、12.04±0.98s),FIB(4.25±0.77g/L)、DD(895.62±99.35μg/L)水平均低于对照组(4.82±0.69g/L、1028.49±95.06μg/L),苏醒期寒战发生率(20.4%)低于对照组(38.8%),术后并发症发生率(4.1%)低于对照组(16.3%)(均P<0.05)。结论:多维保温措施可更好地维持卵巢囊肿手术患者术中体温,稳定凝血功能,减少寒战发生,降低术后并发症发生率,加快患者术后康复。Objective:To explore the application effect of the multidimensional warming measures for patients during ovarian cyst surgery.Methods:98 patients who wanted ovarian cyst surgery in the hospital were selected and randomly divided into two groups(49 cases in each group)by the random number table from September 2021to September 2023.The patients in both groups received standard nursing care and postoperative rapid recovery measures.On this basis,the patients in the control group were given standard warming measures,while the patients in the study group received multidimensional warming measures.The postoperative recovery status,the nasopharyngeal temperature at different time points,the values of pre-and postoperative coagulation function,such as fibrinogen(FIB),activated partial thromboplastin time(APTT),prothrombin time(PT),thrombin time(TT)and D-dimer(DD),and the incidences of shivering during the awakening period and the postoperative complications of the patients were compared between the two groups.Results:The nasopharyngeal temperature of the patients in the study group at 30min of the surgery beginning(36.53±0.18℃)and immediately after the surgery(36.50±0.21℃)were significantly higher than those(36.40±0.19℃ and 36.38±0.22℃)of the patients in the control group.The postoperative recovery time(24.26±5.28 min),the intestinal function recovery time(1.46±0.44d),the extubation time(26.48±5.31min)and the hospitalization time(4.15±1.26d)of the patients in the study group were significantly shorter than those(31.12±5.34min,2.03±0.51d,33.85±5.06min and 5.02±1.30d)of the patients in the control group.The values of APTT(24.09±3.29s),PT(11.75±1.03s)and TT(13.51±0.95s)of the patients in the study group at 4hours after surgery were significantly higher than those(22.25±3.01s,10.83±1.04sand 12.04±0.98s)of the patients in the control group.The values of FIB(4.25±0.77g/L)and DD(895.62±99.35μg/L)of the patients in the study group at 4hours after surgery were significantly lower than those(4.82±0.69

关 键 词：卵巢囊肿手术 围术期多维保温措施 寒战 凝血功能 术后恢复 并发症 

分 类 号：R737.31[医药卫生—肿瘤]