综合保温措施对剖宫产患者体温及凝血功能的影响

代海英; 包凤

doi:10.7619/jcmp.201919031

综合保温措施对剖宫产患者体温及凝血功能的影响

代海英,
包凤

Influence of comprehensive warming measureson body temperature and coagulation function in patients with caesarean section

摘要

摘要:
目的探讨综合保温措施对剖宫产患者体温及凝血功能的影响。
方法选取行剖宫产手术患者80例，随机分为研究组(综合保温)与对照组(常规保温)各40例。比较2组患者术后转归情况(体温、寒战表现、凝血功能和血红蛋白改变)。
结果研究组患者术后低体温及寒战发生率显著低于对照组(P < 0.05)。与研究组比较，对照组患者术后凝血酶时间(TT)显著延长，纤维蛋白原(Fib)及血红蛋白(Hb)水平显著降低(P < 0.05), 2组部分凝血活酶时间(APTT)及凝血酶原时间(PT)比较无显著差异(P>0.05)。
结论综合保温措施可降低剖宫产患者术后寒战发生率。

Abstract:
Objective To explore the effect of comprehensive warming measures on body temperature and coagulation function in patients with cesarean section.
Methods Totally 80 patients with cesarean section were randomly divided into study group (comprehensive warming measures) and control group (routine warming measures), with 40 cases in each group. The prognosis (body temperature, chills, coagulation function and hemoglobin changes) of the two groups were compared.
Results The incidence rates of hypothermia and chills in the study group were significantly lower than those in the control group (P < 0.05). Compared with the study group, thrombin time (TT) in the control group was significantly longer, and fibrinogen (Fib) and hemoglobin (Hb) levels were significantly lower (P < 0.05), but there were no significant differences in partial thromboplastin time (APTT) and prothrombin time (PT) between the two groups (P>0.05).
Conclusion Comprehensive warming measures can reduce the incidence rate of chills after cesarean section.

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