摘要
目的探讨充气式保温毯对于结肠癌根治术后并发症的影响。方法将浙江省乐清市人民医院2009年7月-2010年8月住院的60例结肠癌根治术的患者,将其分成试验组和对照组,每组各均为30例。对照组患者在手术期间加温静脉用液、血和加温腹腔冲洗液;试验组患者在对照组的基础上加用充气式保温毯进行保温。对比观察两组患者手术期间低体温的发生情况、麻醉苏醒时间、术后创口愈合时间、凝血功能、全身感染等情况。结果试验组患者术后创口愈合时间[(11.31±3.01)d]、麻醉苏醒时间[(46.30±11.38)min]明显低于对照组[术后创口愈合时间(19.58±3.16)d、麻醉苏醒时间(66.80±13.22)min],差异有统计学意义(P<0.05)。在围术期运用充气式保温毯可以降低患者体温下降的情况和全身感染情况的发生,提高凝血功能,与对照组比较,差异均有统计学意义(P<0.05)。结论充气式保温毯在应用于结肠癌根治术中,可以减少围术期发生低体温的情况及低体温引起的相关并发症的发生,术后创伤愈合快,提高痊愈率,利于恢复,凝血功能恢复快安全性高,值得广泛推广应用。
Objective To discuss inflatable temperature blanket＇s influence on patients′complications after colon cancer radical operation.Methods 60 cases of the patients who have had colon cancer radical operation in the Leqing People′s Hospital of Wenzhou City from July 2009 to September 2012 were chosen as clinical study objectives,then were divided into experimental group and control group,each group had 30 cases.Temperature vein liquid and tem perature abdominal cavity flushing fluid were given to control group ′s patients during the operation time,while added inflatable temperature blanket on the basis of control group′s treatment to experimental group′s patients.Two groups of patients happening situation of intraoperative hypothermia,anesthesia awakening time,postoperative wound healing time,blood clotting function and general infection these conditions were Compared and observed.Results The results showed that wound healing time [（11.31 ±3.01） d] and anesthesia awaking time [（46.30 ±11.38） min] in experimental group were obviously shorter than that in control group [（19.58 ±3.16） d] and [（66.80±13.22） min],it had statistics meaning（P 0.05）;inflatable temperature blanket was adopted to patients during perioperative period counld reduce their happening rates of tempwrature decreasing and general infection,and could improve coagulation function,compared with control group,it had statistically significant differences（P 0.05）.Conclusion Applying inflatable temperature blanket in colon cancer radical operation can reduce happening frequency of hypothermia and relevant complications at perioperative period.
出处
《中国医药导报》
CAS
2013年第22期145-146,149,共3页
China Medical Herald
基金
浙江省温州市医药卫生科研项目(编号2012B044)
关键词
结肠癌根治术
充气式保温毯
并发症
方差分析
Colon cancer radical operation
Inflatable temperature blanket
Complication
Variance analysis
