Analysis of the effect of intraoperative thermal maintenance nursing on coagulation function and incidence of hypothermia in surgical patients
术中保温护理对手术患者凝血功能及低体温发生率的效果分析

摘要

目的 分析术中保温护理对手术患者凝血功能及低体温发生率的效果。方法 选取120例外科手术患者，随机分为对照组和观察组，对照组实施常规手术室护理，观察组给予术中保温护理，比较两组护理效果。结果 观察组麻醉诱导后30 min、术毕即刻的鼻咽温度均高于对照组（P<0.05）。观察组术毕即刻凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）、凝血酶时间（TT）较对照组缩短，纤维蛋白原（FIB）水平高于对照组（P<0.05）。观察组术中低体温发生率为6.67%、术后寒战发生率为8.33%，低于对照组的25.00%、21.67%（P<0.05）。结论 术中保温护理可有效维持外科手术患者体温稳定，改善围术期凝血功能指标，降低低体温及术后寒战发生率。

Abstract

Objective To analyze the effect of intraoperative thermal maintenance nursing on the coagulation function and the incidence of hypothermia in surgical patients.
Methods 120 surgical patients were selected and randomly divided into the control group and the observation group. The control group received routine operating room nursing, while the observation group was given intraoperative thermal maintenance nursing. The nursing effects of the two groups were compared.
Results The nasopharyngeal temperature of the observation group at 30 minutes after anesthesia induction and immediately after the operation was higher than that of the control group (P<0.05). The Prothrombin Time (PT), Activated Partial Thromboplastin Time (APTT), and Thrombin Time (TT) of the observation group after surgery were shorter than those of the control group, and the Fibrinogen (FIB) level was higher than that of the control group (P<0.05). The incidence of intraoperative hypothermia in the observation group was 6.67%, and the incidence of postoperative shivering was 8.33%, which were lower than 25.00% and 21.67% of the control group (P<0.05).
Conclusion   Intraoperative thermal maintenance nursing can effectively maintain the body temperature stability of surgical patients, improve the coagulation function indicators during the perioperative period, and reduce the incidence of hypothermia and postoperative shivering.