急诊剖宫产围手术期全程复合保温策略对产妇术中出血量、体温以及术后凝血功能的影响  

Effects of the perioperative comprehensive insulation strategy for women with the emergency cesarean section on their bleeding volume and body temperature during operation and their postoperative coagulation function

作　　者：任海霞[1] 李胜[1] REN Haixia;LI Sheng(East Hospital Branch,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou,HebeiProvince,061000)

机构地区：[1]河北省沧州中西医结合医院东院区,061000

出　　处：《中国计划生育学杂志》2025年第4期825-829,共5页Chinese Journal of Family Planning

摘　　要：目的:探究急诊剖宫产围手术期全程复合保温策略对产妇术中出血量、体温以及术后凝血功能的影响。方法:选取2022年6月-2024年6月本院行急诊剖宫产产妇106例,随机均分为两组各56例,对照组采用常规保温护理,复合保温组行手术室复合保温护理,观察两组围手术期体温变化、热舒适度评分以及低体温和寒战发生率,记录术中出血量以及下床活动、肛门排气时间等指标,比较两组术后恢复及手术前后凝血功能指标变化。结果:两组入手术室时体温无差异,而复合保温组在切皮时(37.02±0.14℃)、术中30min(36.59±0.19℃)以及手术结束时(36.41±0.15℃)体温水平均高于对照组(36.91±0.22℃、36.15±0.24℃、35.36±0.20℃),热舒适度评分(53.17±7.81分)优于对照组(62.09±6.93分);低体温(5.7%)、寒战(7.6%)发生率低于对照组(20.8%、30.2%)(P<0.05),术后肛门排气、下床活动和住院时间短于对照组,术中出血量(382±50ml)少于对照组(462±57ml),各凝血功能指标均优于对照组(均P<0.05)。结论:急诊剖宫产手术采用围手术期全程复合保温策略干预能有效维持产妇体温,减少产妇术中出血量及低体温和寒战发生率,增强产妇热舒适度,有效善凝血功能,促进产后恢复。Objective:To explore the effects of the perioperative comprehensive insulation strategy for women with the emergency cesarean section on their bleeding volume and body temperature during operation and their postoperative coagulation function.Methods:106 women who underwent emergency cesarean section in the hospital were selected and were randomly divided into two groups(56 cases in each group)from June 2022 to June 2024.The women in the control group received the routine insulation care,while the women in the study group received the perioperative comprehensive insulation strategy care in the operating room.The perioperative temperature changes,thermal comfort score,and the incidences of hypothermia and shivering of the women in the two groups were observed.The intraoperative blood loss,the time of getting out of bed,the anal exhaust time and the other indicators of the women in the two groups were recorded.The postoperative recovery and the changes of the coagulation function indexes before and after operation of the women were compared between the two groups.Results:There was no significant difference in the body temperature of the women at entering the operating room between the two groups.The body temperature of the women in the study group at the time of skin incision(37.02±0.14℃),at 30min after the operation(36.59±0.19℃)or at the end of the operation(36.41±0.15℃)of the women in the study group was significantly higher than that(36.91±0.22℃,36.15±0.24℃or 35.36±0.20℃)of the women in the control group.The thermal comfort score(53.17±7.81 points)of the women in the study group was significantly higher than that(62.09±6.93 points)of the women in the control group.The incidences of the high body temperature(5.7%)and shivering(7.6%)of the women in the study group were significantly lower than those(20.8%and 30.2%)of the women in the control group(P<0.05).The postoperative anal exhaust time,the time of getting out of bed and the hospitalization time of the women in the study group were significa

关 键 词：急诊剖宫产 复合保温策略 体温 寒战 术中出血量 凝血功能 

分 类 号：R473.71[医药卫生—护理学]