在老年股骨颈骨折术中应用手术室复合保温干预对患者术后凝血功能、低体温发生率的影响  

Effect Study of Composite Insulation Intervention in Operating Room on Postoperative Coagulation Function and Incidence of Hypothermia of Elderly Femoral Neck Fracture

作　　者：黄洁[1] 李木秀[1] 李霞[1] 郑金连 HUANG Jie;LI Muxiu;LI Xia;ZHENG Jinlian(Department of Anesthesiology and Surgery,Lianjiang City People's Hospital,Zhanjiang,Guangdong 524400)

机构地区：[1]廉江市人民医院麻醉手术科,广东湛江524400

出　　处：《智慧健康》2024年第31期140-143,共4页Smart Healthcare

摘　　要：目的 探讨实施手术室复合保温干预对老年股骨颈骨折手术患者术后凝血功能、低体温发生率的影响。方法 从2021年6月—2023年6月在本院就诊的老年股骨颈骨折患者中抽取61例作为研究对象,并按照随机数字表法将其分为对照组(n=30例)和观察组(n=31例)。其中,对照组使用常规手术室护理,观察组在对照组的基础上使用手术室复合保温干预。比较两组不同手术时间核心体温水平、术前后凝血功能水平、低体温发生率。结果 入手术室时,两组患者核心体温水平基本一致(P>0.05);切皮时、手术结束时、出手术室时的患者核心体温对比,观察组均比对照组高(P<0.05)。患者凝血酶原时间(PT)、活化部分凝血酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(Fbg)水平对比,两组术前基本一致(P>0.05);术后,观察组PT、TT、APTT均长于对照组(P<0.05),观察组Fbg水平低于对照组(P<0.05)。低体温发生率对比,观察组比对照组低(P<0.05)。结论 针对老年股骨颈骨折手术,实施手术室复合保温干预能有效维护患者术中体温的稳定状态,减轻对凝血机制的负面影响,减少低体温反应。Objective To explore the effect of composite insulation intervention in operating room on postoperative coagulation function and incidence of hypothermia of elderly femoral neck fracture.Methods The paper chose 61 elderly patients with femoral neck fractures in our hospital from June 2021 to June 2023 as survey subjects,and divided them into the control group(n=30)and the observation group(n=31)with random number table method.The control group was treated with routine operating room nursing,while the observation group with composite insulation intervention in operating room based on the control group.Core body temperature levels,coagulation function levels before and after surgery,incidence of hypothermia were compared between two groups at different surgical times.Results When entering operating room,core body temperature levels between two groups were basically the same,(P>0.05).That during skin incision,end of surgery,and leaving operating room in the observation group was higher than the control group(P<0.05).Prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),and fibrinogen(Fbg)levels were basically the same before surgery between two groups,(P>0.05).After surgery,PT,TT,and APTT in the observation group were longer than the control group(P<0.05),while Fbg levels in the observation group were lower than the control group(P<0.05).Incidence of hypothermia in the observation group was lower than the control group(P<0.05).Conclusion Composite insulation interventions in operating room can maintain stable state of intraoperative body temperature,reduce negative effect on coagulation mechanisms,and minimize hypothermia reactions of elderly femoral neck fracture effectively.

关 键 词：手术室复合保温干预 凝血功能 老年股骨颈骨折 低体温 核心体温水平 

分 类 号：R47[医药卫生—护理学]