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目的探讨对心脏外科手术患者施行术中保温护理干预,患者体温和凝血功能变化。方法选取我院2012年7月至2016年8月接受心脏外科手术患者150例,依据随机数字表法随机分为对照组(75例)和观察组(75例),对照组采用传统体温保护方法,观察组在对照组基础上加强术中保温护理干预,记录两组手术时间、出血量、输血输液量、尿量和麻醉拔管时间,不同时间点心率(HR)、体温(T)变化,凝血功能变化。结果两组手术时间、术中出血量、输血输液量以及尿量没有明显差异,观察组麻醉拔管时间min显著短于对照组(P<0.05);观察组术后心率低于对照组(P<0.05),体温分别为高于对照组(P<0.05);术后观察组各凝血功能指标变化较小,对照组凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血酶原时间(a PTT)显著上调(P<0.05),纤维蛋白原(Fbg)水平显著下调(P<0.05)。结论心脏外科手术患者采取术中保温护理干预可缩短麻醉拔管时间,减小术中体温变化,从而保护患者凝血功能,利于患者术后身体状况恢复。
Objective To investigate the intraoperative nursing interventions in patients undergoing cardiac surgery and the changes of body temperature and coagulation function. Methods A total of 150 patients undergoing cardiac surgery from July 2012 to August 2016 in our hospital were randomly divided into control group (75 cases) and observation group (75 cases) according to random number table method. The control group was treated with traditional body temperature protection , And the observation group underwent intensive nursing intervention on the basis of the control group. The operation time, blood loss, transfusion volume, urine output, extubation time, heart rate (HR) and body temperature (T) at different time points were recorded. Blood coagulation changes. Results The operation time, intraoperative blood loss, blood transfusion volume and urine output were not significantly different between the two groups. The extubation time of the observation group was significantly shorter than that of the control group (P <0.05). The heart rate of the observation group was lower than that of the control group <0.05), body temperature were higher than the control group (P <0.05); postoperative observation group, the changes of coagulation function index was small, the control group thrombin time (TT), prothrombin time (PT), activated partial thrombin Primary time (PTT) was significantly increased (P <0.05), fibrinogen (Fbg) levels were significantly decreased (P <0.05). Conclusion Intraoperative cardiac nursing intervention can shorten the time of anesthesia extubation and reduce the change of intraoperative temperature so as to protect the coagulation function of patients and facilitate the recovery of postoperative physical condition.