摘要
探讨经尿道前列腺电切术(TURP)中实施保温治疗对凝血功能的影响。60例TURP患者,随机分为加压空气调温毯保温组(I组)和对照组(Ⅱ组)。观察体温、血浆凝血酶原时间(PT)、部分激活凝血活酶时间(APTT)、纤维蛋白原(FIB)、血小板计数(PLT)、血红蛋白(Hb)和红细胞压积(Hct)的变化。结果显示Ⅱ组手术后体温明显低于手术前(P<0.05)。Ⅱ组术后各时点与T0相比PT、APTT明显延长,FIB和PLT显著降低(P<0.05);Ⅱ组与I组各时点相比PT、APTT明显延长,FIB和PLT显著降低(P<0.05)。认为TURP期间实施加压空气调温毯保温治疗能维持机体凝血功能稳定,心脏事件发生率较低。
To explore the influence of warming interventions on the patient’s temperature maintenance and coagulation during the transurethral resection of prostate （TURP）,sixty patients who underwent TURP were divided into two groups：pressurized air temperature insulation blanket group （I） and the control group （II）.To observe body temperature, plasma prothrombin time （PT）, activated partial thromboplastin time（APTT）,fibrinogen （FIB）,platelet count （PLT）,hemoglobin （Hb） and hematocrit （Hct）.Postoperative body temperature of II group was significantly lower than preoperative temperature （P〈0.05）.PT and APTT of all time point of Group II after operation were prolonged,FIB and PLT of Group II were significantly reduced than those before operation （P〈0.05）.PT and APTT of all time point of Group II after operation were more prolonged than those of Group I,FIB and PLT were significantly lower （P〈0.05）.The pressurized air temperature insulation blanket is safer and more effective in maintaining body temperature and coagulation during TURP.
出处
《医学与哲学（B）》
2009年第11期32-33,共2页
Medicine & Philosophy(B)
