首页|基于复合保温干预的手术室措施在剖宫产产妇中的应用效果研究

基于复合保温干预的手术室措施在剖宫产产妇中的应用效果研究

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目的 探讨基于复合保温干预的手术室措施在剖宫产产妇中的应用效果.方法 100 例剖宫产产妇作为研究对象,随机分为对照组和实验组,每组 50 例.对照组产妇进行常规保温干预,实验组产妇进行复合保温干预.比较两组不同时间点鼓膜温度,低体温、寒战发生情况,热舒适度评分及凝血指标[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)].结果 麻醉时(T1)~手术结束时(T7)时,实验组鼓膜温度分别为(37.26±0.36)、(37.24±0.53)、(37.45±0.35)、(36.89±0.26)、(36.79±0.33)、(36.52±0.32)、(36.89±0.31)℃,高于对照组的(37.12±0.23)、(37.02±0.31)、(36.24±0.44)、(36.41±0.46)、(36.12±0.34)、(36.29±0.47)、(36.42±0.53)℃(P<0.05).实验组热舒适度评分、低体温与寒战发生率分别为(54.69±7.85)分、2%、4%,低于对照组的(61.35±6.89)分、24%、26%(P<0.05).术后,对照组PT、APTT、TT长于本组术前,FIB 低于本组术前(P<0.05);实验组PT(9.16±0.80)s、APTT(31.26±2.68)s、TT(12.23±1.39)s 短于对照组的(10.56±0.96)、(34.18±2.47)、(15.47±1.34)s,FIB(3.68±0.56)g/L高于对照组的(3.14±0.36)g/L(P<0.05).结论 基于复合保温干预的手术室措施在剖宫产产妇中应用具有积极作用,值得在临床上推广.
Study on the application effect of operating room measures based on compound heat preservation intervention in cesarean section parturients
Objective To explore the application effect of operating room measures based on compound heat preservation intervention in cesarean section parturients.Methods 100 cases of cesarean section parturients were taken as the research subjects.They were randomly divided into a control group and an experimental group,with 50 cases in each group.The control group received routine heat preservation intervention,and the experimental group received compound heat preservation intervention.The tympanic membrane temperature at different times,occurrence of hypothermia and chills,thermal comfort score and blood coagulation indicators[prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(FIB)]were compared between the two groups.Results At the time of anesthesia(T1)to the end of surgery(T7),the tympanic membrane temperature of the experimental group were(37.26±0.36),(37.24±0.53),(37.45±0.35),(36.89±0.26),(36.79±0.33),(36.52±0.32),(36.89±0.31)℃,which were higher than(37.12±0.23),(37.02±0.31),(36.24±0.44),(36.41±0.46),(36.12±0.34),(36.29±0.47),(36.42±0.53)℃of the control group(P<0.05).The thermal comfort score,incidence of hypothermia and chills in the experimental group were(54.69±7.85)points,2%and 4%,which were lower than(61.35±6.89)points,24%and 26%in the control group(P<0.05).After surgery,the PT,APTT,TT in the control group were higher than those before surgery,and FIB was lower than that before surgery(P<0.05).The PT of(9.16±0.80)s,APTT of(31.26±2.68)s and TT of(12.23±1.39)s in the experimental group were lower than(10.56±0.96),(34.18±2.47)and(15.47±1.34)s in the control group,and the FIB of(3.68±0.56)g/L was higher than(3.14±0.36)g/L in the control group(P<0.05).Conclusion The application of compound heat preservation intervention in the operating room has an active therapeutic effect on cesarean section parturients,which is worth popularizing in clinical practice.

Compound heat preservation interventionOperating roomCesarean sectionParturients

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257055 东营市中医院麻醉与围术期医学科

复合保温干预 手术室 剖宫产 产妇

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(2)
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