不同体温保护策略在手术失血患者中的应用效果

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Abstract Objective To explore application effect of different temperature protection strategies on patients with surgical blood loss.Methods A total of 120 patients with surgical blood loss admitted to our hospital from August 2014 to August 2017 were selected and randomly divided into control group and observation group,with 60 cases in each group.Patients in the control group were covered with quilt for routine heat preservation,while patients in the observation group were treated with double-level heat preservation on the basis of the control group.The body temperature changes of two groups before operation(T0),during operation for 1 h(T1),after operation(T2)and after operation for 4 h(T3)were compared,and the postoperative recovery (waking time,extubation time,hospitalization time)and complications of two groups were compared.Results The body temperature of patients in observation group at T0and T3time points was(36.50±0.53)℃,(36.53±0.39)℃ respectively,and those of control group were(36.46±0.54)℃,(36.56±0.49)℃ respectively,there was no statistical difference between the two groups in the body temperature at the same time points(P>0.05).The time points of T1and T2in the observation group were (36.32±0.41)℃,(36.31±0.46)℃,and the body temperature of the observation group were significantly higher than those of the control group at the same time (35.62±0.45)℃,(35.66±0.42)℃,and the body temperature of the two groups at time points of T1and T2were significantly lower than that of T0 in the same group (P<0.05).The postoperative indexes of wake-up time,extubation time and hospitalization time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of perioperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Comprehensive temperature protection measures helps patients with surgical blood loss to maintain body temperature,reduce the amount of intraoperative blood loss,reduce the various complications caused by low temperatures,accelerate recovery time effectively.It is worth to be further promoted in clinic.

Key words： Body temperature protection Strategy Surgical blood loss Recovery Perioperative anesthesia

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	Articles by authors
	TANG Chao-jun
	CHEN Jin-hua
	LI Fa-ren

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TANG Chao-jun,CHEN Jin-hua,LI Fa-ren. Application effect of different temperature protection strategies on patients with surgical blood loss[J]. 中国当代医药, 2018, 25(15): 37-39.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I15/37

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