全髋关节置换术中保温干预对围手术期出血的影响The effect of temperature interventions on perioperative blood loss in total hip replacement
覃文杰;尹东;黄宇;黄晓;李富林;
摘要(Abstract):
[目的]探讨在全髋关节置换术中,运用保温干预措施,了解对围手术期的出血量是否有影响。[方法]将2013年8月~2014年10月,在本院行非骨水泥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。体温干预组采取可控式电热保温毯、输入液加温等措施,维持患者体温在36℃以上;对照组不做特别处理。两组患者均在术后48~72 h内拔除引流管,评估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输血率。[结果]体温干预组术中出血及术后引流量均少于对照组,差异有统计学意义(P<0.05)。术后24 h血红蛋白水平,体温干预组高于对照组。体温干预组的输血人数及输血率明显少于对照组。[结论]保温干预措施对减少全髋关节置换术的术中出血量、术后引流量及输血率有着明显的效果。
关键词(KeyWords): 全髋关节置换;围手术期;出血;低体温
基金项目(Foundation): 广西医药卫生科研课题(编号:桂卫Z2013363)
作者(Author): 覃文杰;尹东;黄宇;黄晓;李富林;
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DOI:
参考文献(References):
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