浅谈等体温冲洗液对经皮肾镜碎石术患者体温以及失血量的影响

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Abstract Objective To investigate the influence of body temperature irrigation fluid on vital signs in patients with percutaneous nephrolithotripsy.Methods 60 patients undergone percutaneous nephrolithotripsy in our hospital from January 2016 to January 2017 were selected.According to different therapeutic methods,they were evenly divided into control group(irrigation by room temperature fluid) and observation group(irrigation by body temperature fluid).The therapeutic effect in the two groups was compared.Results In the observation group,the temperature was (36.75±0.45)℃ 20 minutes at the beginning of the surgery and (36.46±0.46)℃ at 30 minutes of the surgery,which were much higher than those in the control group (36.11±0.22)℃ and (35.94±0.33)℃ at the 20 and 30 minutes at the beginning of the surgery,respectively.After inter-group comparison,there was a statistical difference(P<0.05).The heart rate (HR) and mean arterial pressure(MAP) during surgery were (86.32±8.25) times/min and (92.35±5.69) mmHg,after surgery,they were (83.01±5.36) times/min and(89.25±.21) mmHg.The above-mentioned indexes in the observation group were greatly lower than those in the control group [intraoperative:(96.24±11.20)time/min,(92.35±5.69)mmHg;postoperation:(99.36±9.24)time/min,(99.36±10.25)mmHg],with statistical differences(P<0.05).In the observation group,the blood loss was (39.62±9.68) ml and the incidence of adverse reactions was (13.34%),while in the control group,they were (64.21±21.36) ml and (43.33%)respectively,with statistical differences(P<0.05).Conclusion Application of body temperature irrigation fluid during surgery not only improve the healing,but also obtain high safety,which is worthy of clinical promotion.

Key words： Body temperature irrigation fluid Percutaneous nephrolithotripsy Body temperature Blood loss volume

Received: 16 June 2017

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R473.5

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HU Xian-mei. Brief discussion of influence of body temperature irrigation fluid on body temperature and blood loss in patients with percutaneous nephrolithotripsy[J]. 中国当代医药, 2017, 24(25): 63-65.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I25/63

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