目的 观察综合保温干预对肝移植患者术中低体温影响.方法 将180例肝移植患者按手术时间先后分为对照组113例和观察组67例,对照组采用常规保温护理,观察组在对照组基础上采用综合保温干预;比较两组术中低体温发生率和术中出血、复苏时间等相关指标的差异.结果 术中低体温发生率观察组11.9%、对照组43.4%,x2=19.19,P<0.05;观察组术中出血量和术后复苏时间、凝血功能、切口感染率均优于对照组.结论 综合保温干预能减少肝移植患者术中低体温发生,对保证手术顺利进行和患者术后康复具有积极意义.%Objective To observe the effect of comprehensive heat preservation intervention on hypothermia in liver transplantation. Method Divide 180 patients undergoing liver transplantation into observation group (n=113) and control group (n=67) according to operation order. Patients in control group receive routine heat preservation intervention. Patients in control group receive comprehensive heat preservation intervention based on routine care. Compare the related indexes of hypothermia rate, intraoperative hemorrhage rate and recovery time. Result Rate of hypothermia is 11. 9% in observation group and 43. 4% in control group, x2 = 19. 19,F<0. 05. Intraoperative blood loss and postoperative recovery time, coagulation function and incision infection are all better in observation group. Conclusion Comprehensive heat preservation intervention can reduce the rate of hypothermia in liver transplantation and has positive effect on ensuring the success of operation and post-operative rehabilitation for patients.
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