复合保温措施对全髋关节置换术围手术期失血影响研究
黄宇;尹东;黄晓;莫冰峰;黄文文;石伟发;
摘要(Abstract)：
[目的]探讨全髋关节置换术围手术期中应用复合保温措施干预对显性失血及隐性失血的影响。[方法]将2014年8月～2016年10月在本院行生物型人工全髋关节置换术的患者,共60髋,随机分为两组,每组各30髋。分为复合保温干预组和常规组。复合保温组采取可控式电热保温毯、输入液加温、控制手术室温度等措施;常规组不予复合保温体温干预。评估两组麻醉30 min、麻醉60 min、麻醉90 min、手术结束时体温的变化,两组患者手术中出血量及术后引流量情况,以及术前、术后血红蛋白含量变化及计算术中的隐性失血量。[结果]复合保温组麻醉30 min、麻醉60 min、麻醉90 min、手术结束时体温均高于对照组,差异有统计学意义(P<0.05)。复合保温组在术中出血量、术后引流量及隐性失血量均少于对照组,差异有统计学意义(P<0.05)。术后血红蛋白水平,复合保温组高于对照组,差异有统计学意义(P<0.05)。[结论]围手术期复合保温干预措施在全髋关节置换中能有效减少术中、术后显性失血量、隐性失血量。
关键词(KeyWords)： 全髋关节置换;围手术期;失血量;复合保温措施
基金项目(Foundation): 广西医药卫生科研课题(编号:桂卫Z2013363;桂卫S201544);; 广西科技计划项目课题(编号:桂科AB16380230)
作者(Author): 黄宇;尹东;黄晓;莫冰峰;黄文文;石伟发;
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