首页|浅表大血管复温对下肢骨折手术患者术中核心体温的干预效果

浅表大血管复温对下肢骨折手术患者术中核心体温的干预效果

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目的 探讨浅表大血管复温对下肢骨折手术患者术中核心体温的影响.方法 选取 2021 年 10 月至2023 年4 月阜阳市中医医院收治的80 例下肢骨折患者,按照随机数字表法分为试验组和对照组,每组40 例.对照组术中采用全身保温毯身下保温,试验组采用浅表大血管复温.记录2 组患者术中各时段核心体温及血乳酸值,并比较2 组术中失血量、低体温、寒战发生率.结果 术中 30 min、术中 1h、手术结束时,试验组核心体温高于对照组,差异有统计学意义(P<0.05).术中 1h、手术结束时,试验组乳酸低于对照组,差异有统计学意义(P<0.05).2 组其余时段核心体温、乳酸差异无统计学意义(P>0.05).2 组患者手术时间、术中失血量等差异无统计学意义(P>0.05);试验组低体温、寒战发生率低于对照组,差异有统计学意义(P<0.05).结论 浅表大血管复温可有效维持下肢骨折患者核心体温的稳定,降低低体温发生风险,是一种安全、有效地术中保温措施.
Effects of re-heating superficial large vessels on the intraoperative core temperature of patients with lower extremity fractures
Objective To explore the effects of re-heating superficial large vessels on the intraoperative core temperature of patients with lower extremity fractures.Methods From October 2021 to April 2023,a total of 80 lower extremity fracture patients enrolled at Fuyang Traditional Chinese Medicine Hospital were randomly divided into experimental group(40 cases)and control group(40 cases).The full-body thermal blanket during operation,and superficial large vessel re-heating were applied to patients of experimental group and control group,respectively.The intraoperative core temperature and blood lactic acid at different time points were recorded.The intraoperative blood loss,and the incidence of hypothermia and chills were compared between the two groups.Results At 30min,1h and at the end of operation,the core temperature in the experimental group was significantly higher than that of the control group(P<0.05).At 1h and the end of operation,the lactic acid in the experimental was significantly lower than that of the control group(P<0.05).However,there were no significant differences in the intraoperative core temperature and lactic acid at other time points between the two groups(P>0.05).There were no significant differences in the operation time,intraoperative blood loss between the two groups(P>0.05).The incidence of hypothermia and chills in the experimental group was significantly lower than that of the control group(P<0.05).Conclusion Re-heating superficial large vessels can effectively maintain the stability of intraoperative core body temperature of patients with lower limb fractures,and reduce the risk of hypothermia,which is a safe and effective intraoperative thermal insulation method.

warminglower extremity fracturesthermal blanketsuperficial large vesselhypothermia

王丽、吴建明、路强、胡秀玲、邓言江

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236032 安徽省阜阳市中医医院手术室

安徽省亳州市人民医院脊柱外科

236032 安徽省阜阳市中医医院手麻醉科

保温 下肢骨折 保温毯 浅表大血管 低体温

安徽省重点研究与开发计划(第一批)

202104j07020053

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(3)
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