复合保温策略在肝囊型棘球蚴病患者围手术期的应用效果

doi:10.20047/j.issn1673-7210.2023.11.37

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Abstract Objective To explore the effect of compound insulation strategy in perioperative patients with hepatic cystic echinococcosis. Methods A total of 77 patients with hepatic cystic echinococcosis who underwent surgical treatment in the Department of Hepatobiliary Echinococcosis of the First Affiliated Hospital of Xinjiang Medical University in Xinjiang Uygur Autonomous Region from January to December 2021 were selected, they were divided into control group (38 cases) and experimental group (39 cases) according to random number table method. The control group was treated with conventional insulation nursing, and the experimental group was treated with compound insulation strategy. The body temperature of the two groups were observed at the time of entry, before anesthesia, before incision, 30, 60, 90, 120, 150, 180 min and the end during the surgery. The occurrence of hypothermia, postoperative chills and agitation during recovery were compared between the two groups, the extubation time of tracheal catheter and the retention time of postanesthesia care unit (PACU) were observed in the two groups, the coagulation function of the two groups was compared before and after operation. Results Intraoperative body temperature was compared between the two groups in terms of inter-group, time and interaction, and the differences were statistically significant (P＜0.05); there was no significant difference in body temperature between the two groups at the time of entry, before anesthesia, and before skin resection (P＞0.05), the body temperature of experimental group 30, 60, 90, 120, 150, 180 min and the end was higher than that of control group, and the differences were statistically significant (P＜0.05). The incidence of hypothermia, chills, and agitation in experimental group were lower than that in control group, the differences were statistically significant (P＜0.05). Tracheal catheter extubation time and PACU retention time of experimental group were shorter than those of control group, and the differences were statistically significant (P＜0.05). After surgery, prothrombin time, thrombin time and activated partial thromboplastin time were longer than before surgery, but fibrinogen was less than before surgery the two groups, the four items of postoperative coagulation were compared between the two groups, and the differences were statistically significant (P＜0.05). Conclusion The compound insulation strategy can maintain the relative stability of intraoperative body temperature in patients with hepatic cystic echinococcosis, prevent the occurrence of hypothermia, chills, and agitation, promote anesthesia recovery, and contribute to the stability of coagulation function in patients.

Key words： Hepatic cystic echinococcosis Compound insulation strategy Hypothermia Anesthesia recovery

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	Gulisumuhan Abulaiti1 Mubalake Yikelamu1 CHEN Han2 JIANG Yu1 ZHAO Ping3 WANG Meixin4

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Gulisumuhan Abulaiti1 Mubalake Yikelamu1 CHEN Han2 JIANG Yu1 ZHAO Ping3 WANG Meixin4. Effect of compound insulation strategy in perioperative patients with hepatic cystic echinococcosis[J]. 中国医药导报, 2023, 20(11): 162-166.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.11.37 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I11/162

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