复合保温对腹部手术患者应激反应、凝血功能及保温效果的影响

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Abstract Objective To explore the effect of compound insulation on the stress response and coagulation function of abdominal surgery patients. Methods A total of 78 patients undergoing abdominal surgery admitted to Huai’an No.4 People’s Hospital from January to December 2019 were selected and divided into experimental group and control group by random number table method, with 39 cases in each group. The experimental group took compound heat preservation intervention, while the control group took conventional heat preservation intervention. The heat preservation effect, stress response, blood coagulation function and adverse reactions were compared between the two groups. Results There were statistically significant differences in body temperature at different time, groups, and interaction between the two groups (P ＜ 0.05). At 30, 60, 120 minutes, and at the end of the operation, the body temperature of the two groups were lower than before the operation, and the differences were statistically significant (P ＜ 0.05). After anesthesia, 30, 60, 120 minutes, and at the end of the operation, the body temperature of the experimental group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). The differences in C-reactive protein (CRP), adrenaline (AD), norepinephrine (NE) content at different time, groups and interactions between the two groups were statistically significant (P ＜ 0.05). At 60 minutes after the operation and at the end of the operation, the levels of CRP, AD, and NE in the two groups were higher than those before anesthesia, and the differences were statistically significant (P ＜ 0.05); at 60 minutes after the operation and at the end of the operation, the contents of CRP, AD, and NE in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). The differences in prothrombin time (PT), activated partial thromboplastin time (APTT) and fibrinogen (FBG) content at different time, groups and interactions between the two groups were statistically significant (P ＜ 0.05). At 60 minutes after the operation and at the end of the operation, the PT, APTT, and FBG content in the two groups were higher than those before anesthesia, and the differences were statistically significant (P ＜ 0.05); at 60 minutes after the operation and at the end of the operation, the PT, APTT, and FBG content in the experimental group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of adverse reactions in the experimental group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Compound insulation can help relieve the stress response of patients undergoing abdominal surgery, maintain a relatively stable coagulation function, and reduce the occurrence of adverse reactions such as hypothermia.

Key words： Abdominal operation Compound insulation Stress reaction Coagulation function Adverse reactions

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	ZHANG Lijuan WANG Jingjing▲ YAN Li

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ZHANG Lijuan WANG Jingjing▲ YAN Li. Impact of compound insulation on the stress response, coagulation function and insulation effect of patients undergoing abdominal surgery[J]. 中国医药导报, 2021, 18(28): 177-180,192.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I28/177

[1] 姚晓琴，罗永丽，马巧梅，等.应用品管圈降低腹部手术全麻患者围手术期低体温发生率[J].当代护士：中旬刊，2017（3）：65-67.
[2] 邱璇，杨森，宋波.复合式保温护理对冠心病搭桥术手术患者术后的影响[J].中国心血管病研究，2016，14（6）：572-574.
[3] 陈怀颖.加温CO2建立气腹对腹腔镜手术患者术中体温及术后寒颤发生的影响[J].保健医学研究与实践，2019， 16（5）：55-57.
[4] 周鸿志，杨朝坤，周正容.全麻苏醒期保温护理对胸腔镜肺手术患者麻醉及应激状况的影响分析[J].中国实用护理杂志，2019，35（14）：1075-1078.
[5] 费晓青，徐小春，张敏，等.复合保温对老年手术部位感染护理治疗的干预效果[J].中华医院感染学杂志，2019， 29（9）：1433-1437.
[6] 杨燕萍，沈梅芬.复合保温对全髋关节置换老年患者术中低体温的影响研究[J].护士进修杂志，2017，32（1）：78-80.
[7] 王江华，崔雅清.综合性保温措施对妇科宫腔镜患者术中应激及并发症的影响[J].实用临床医药杂志，2017，21（16）：88-90.
[8] 张文芳，刘训碧.腹腔镜手术对早期卵巢癌患者应激反应及并发症的影响[J].临床肿瘤学杂志，2019，24（10）：930-933.
[9] 周亮.围手术期低温干预在剖宫产手术中的应用效果研究[J].当代护士：上旬刊，2019，26（10）：104-105.
[10] 吴剑，谷亚坤，刘佳.缺血/缺氧预适应的神经保护作用研究进展[J].首都医科大学学报，2020，41（4）：664-670.
[11] 朱丽花.手术室保温护理对颅脑手术患者术中应激反应及满意度的影响[J].中国实用神经疾病杂志，2019，22（4）：443-448.
[12] 袁陆涛，毕永延，蒋为众，等.亚低温辅助治疗重型颅脑损伤对患者凝血，氧化应激，血清NSE的影响[J].中国医师杂志，2020，22（1）：95-97.
[13] 白忠铭，蔡波，贾学军，等.调节低温技术对严重创伤低血容量性休克患者凝血功能、血乳酸的影响[J].医药前沿，2018，8（21）：20-21.
[14] 李志娟，张红棉，邱爱芬.泌尿外科腹腔镜手术患者围术期低体温及寒战的影响因素分析与护理干预对策[J].护理实践与研究，2019，16（8）：74-76.
[15] 刘剑.手术中后期复合保温措施对颅脑手术患者低体温和不良反应的影响[J].中华现代护理杂志，2018，24（15）：1825-1827.
[16] 刘娜.集束化保温护理干预对宫腔镜手术病人应激反应水平及康复情况的影响[J].全科护理，2019，17（22）：2777-2779.
[17] 张作晶，吴镜湘，吴德华，等.主动保温对食管癌根治术患者术中体温和术后心肌肌钙蛋白Ⅰ的影响[J].国际麻醉学与复苏杂志，2018，39（3）：199-203.
[18] 吴春梅，戴靖华，张旭，等.复合保温措施预防胃癌根治术病人术中低体温的效果观察[J].护理研究，2017，31（23）：2868.
[19] 严金秀，张学康，余志峰，等.不同保温措施对胃肠手术老年患者麻醉恢复期应激反应的影响[J].江西医药，2019， 54（4）：329-331，347.
[20] 周彩霞.老年腹部手术中不同保温护理措施对患者体温变化及应激反应的影响[J].中国初级卫生保健，2016， 30（12）：83-84，87.
[21] 陆霞，黄彩平，顾素珍.复合保温法与传统保温法对腹腔镜手术病人围术期体温的影响[J].全科护理，2017， 15（31）：3930-3931.
[22] 陈立建，毛煜，赵仙雅，等.多模式保温对精准肝切除术中低体温发生的影响[J].中华麻醉学杂志，2016，36（6）：705.
[23] 齐菲，张艳秋，李琳琳，等.腹腔镜结直肠癌手术术中低体温相关危险因素分析[J].中国实验诊断学，2019，23（3）：432-434.
[24] 彭珊，程小敏.手术室术中保温对老年股骨骨折患者出血量、体温及术后凝血功能的影响[J].血栓与止血学，2019，25（1）：145-147.
[25] 赵冬梅，马翠玉.水循环保温毯联合加温冲洗液在经皮肾镜碎石术患者中的应用效果分析[J].中国实用护理杂志，2019，35（19）：1466-1469.