温经通络灸贴穴位复合保温对经尿道前列腺电切术患者体温及凝血状态的影响  

Effect of Warming Meridian and Clearing Collaterals Moxibustion Patch Acupoint Compound Heat Preservation on Body Temperature and Coagulation Status of Patients Undergoing Transurethral Resection of Prostate

作　　者：吴卓 梁柳英 黄小莲 陈琳淑 WU Zhuo;LIANG Liuying;HUANG Xiaolian;CHEN Linshu(Department of Anesthesiology,the Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510378,China)

机构地区：[1]广州中医药大学第三附属医院麻醉科,广东广州510378

出　　处：《中国医学创新》2025年第10期114-117,共4页Medical Innovation of China

基　　金：广东省中医药局项目基金(20221201)。

摘　　要：目的:探讨温经通络灸贴穴位复合保温措施对经尿道前列腺电切术患者体温及凝血状态的影响。方法:选取2022年7月—2023年7月广州中医药大学第三附属医院收治的120例实施经尿道前列腺电切术患者,根据随机数字表法分为对照组和观察组,各60例。对照组采用常规保温干预措施,观察组采用温经通络灸贴穴位复合保温措施。比较两组的围手术期体温及凝血状态。结果:麻醉前,两组体温比较,差异无统计学意义(P>0.05);术中30 min、术中60 min、术毕及苏醒时,观察组体温均高于对照组,差异均有统计学意义(P<0.05)。观察组围手术期低体温和寒战发生率均低于对照组,差异均有统计学意义(P<0.05)。术后48 h,两组凝血时间(K值)、反应时间(R值)均短于术前,最大振幅(MA值)、凝集块形成速度α(Angle-α)均高于术前,但观察组R值、K值均长于对照组,MA值、Angle-α均低于对照组,差异均有统计学意义(P<0.05)。结论:温经通络灸贴穴位复合保温措施有助于稳定经尿道前列腺电切术患者的体温,降低低体温及寒战发生率,改善凝血功能,有效降低术后血浆高凝状态。Objective:To investigate the effect of warming meridian and clearing collaterals moxibustion patch acupoint compound heat preservation measures on body temperature and coagulation status of patients undergoing transurethral resection of prostate.Method:A total of 120 patients underwent treated in the Third Affiliated Hospital of Guangzhou University of Chinese Medicine from July 2022 to July 2023 were selected and divided into control group and observation group according to random number table method,with 60 cases in each group.The control group was treated with conventional heat preservation intervention measures,and the observation group was treated with warming meridian and clearing collaterals moxibustion patch acupoint compound heat preservation measures.Perioperative body temperature and coagulation status were compared between the two groups.Result:Before anesthesia,there was no statistically significant difference in body temperature between the two groups(P>0.05).At 30 min during surgery,60 min during surgery,the end of surgery and awakening,the body temperature of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The incidences of perioperative hypothermia and chills in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 48 h after surgery,coagulation time(K value)and reaction time(R value)of both groups were shorter than those before surgery,maximum amplitude(MA value)and agglutination velocityα(Angle-α)were higher than those before surgery,but R value and K value of the observation group were longer than those of the control group,MA value and Angle-αwere lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Warming meridian and clearing collaterals moxibustion patch acupoint compound heat preservation measures can help to stabilize the body temperature of patients undergoing transurethral resection of prosta

关 键 词：温经通络灸贴 复合保温 凝血功能 经尿道前列腺电切术 术后高凝状态 

分 类 号：R246.2[医药卫生—针灸推拿学]