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目的探讨在经皮肾镜手术中应用加温灌注液对患者术中、术后生理指标的影响。方法选择2009年11月-2010年2月在我院泌尿外科行经皮肾穿刺取石术患者60例,随机分为加温组和常温组,每组30例,两组均在相同的室温(20℃)下进行手术。加温组使用温箱加温到37℃的灌注液,常温组使用室温下放置的灌注液。比较两组患者手术期前、手术中和手术后的血压、心率、体温、失血量、血小板计数,以及手术中寒战发生率和躁动发生率。结果两组患者围手术期的血压、心率、体温无差异(P>0.05);加温组患者手术中、手术后的血压、心率、体温、术中失血量、术中血小板计数、寒战和躁动发生率均明显好于常温组(P均<0.05)。结论经皮肾镜手术中应用加温灌注液,可以使患者在手术期的血压、心率平稳,失血量减少,保持患者的正常体温,降低术中寒战和躁动发生率。
Objective To investigate the effect of warming perfusion fluid on intraoperative and postoperative physiological indexes in percutaneous nephrolithotomy. Methods Sixty patients with percutaneous nephrolithotomy undergoing urology at our hospital from November 2009 to February 2010 were randomly divided into warming group and normothermia group, 30 cases in each group. Both groups were at the same room temperature (20 ℃) under the operation. The warming group was warmed to 37 ℃ perfusion fluid, room temperature group placed perfusate at room temperature. The blood pressure, heart rate, body temperature, blood loss, platelet count, and the incidence of shivering and agitation during operation before, during and after operation were compared between the two groups. Results There was no difference in perioperative blood pressure, heart rate and body temperature between the two groups (P> 0.05). The blood pressure, heart rate, body temperature, intraoperative blood loss, intraoperative blood platelet count, chills and agitation The incidence was significantly better than the normal temperature group (P <0.05). Conclusion Percutaneous nephrolithotripsy can increase the blood pressure and heart rate, decrease the blood loss, maintain the normal body temperature and reduce the incidence of intraoperative chills and agitation during operation.