国际病理科学与临床杂志2017，Vol.37Issue(4)：678-683,6.DOI:10.3978/j.issn.2095-6959.2017.04.005
不同温度的术中冲洗方案对单节段腰椎融合手术患者的生命体征及治疗效果的影响
Influence of temperature-variant intra-operative rinse strategies on vital signs and treatment effect of patients having single segment lumbar vertebra fusion operation
米亚玲 1杨玉龙1
作者信息
- 1. 平煤神马医疗集团总医院手术室,河南平顶山467000
- 折叠
摘要
Abstract
Objective:To discuss the influence of temperature-variant intra-operative rinse strategies on the vital signs and after-treatment curative effect of the patients who have single segment lumbar vertebra fusion operation.Methods:A total of 131 patients who had single segment lumbar vertebra fusion operation to treat lumbar degeneration in our hospital from July 2013 to June 2015 were selected and randomly divided into a routine group and a low-temperature group.Sixty-five patients of the routine group only adopted normal-temperature saline rinse before wound healing,while 66 patients of the low-temperature group adopted continuous intraoperative saline rinse based on normal-temperature saline rinse before wound healing.The intra-operative vital signs and related postoperative indexes of the two groups after anesthesia (T0) and during skin incision (T1),implantation of vertebral arch fixation system (T2),bone graft fusion (T3) and rinse before healing (T4) and 5 min after healing (T5) were collected.Results:Except for body temperature and SPOv intra-operative MAP,HR and CVP of the two groups had certain fluctuations and changes.MAP at T2-5,HR at T1-3 and CVP at T2-4 of the low-temperature group were evidently higher than the corresponding values at T0 (P＜0.05).MAP at T1-5,HR at T1-2 and CVP at T4 of the routine group were evidently higher than the corresponding values at T0 (P＜0.05).As to comparison between groups,MAP at T1-5 and CVP at T4 of the low-temperature group were evidently lower than the corresponding values of the routine group,while CVP at T2-3 was evidently higher than the corresponding value of the routine group.Except for infection of incisional wound,intra-operative blood loss volume,drainage volume on the first day after operation,hospital stay length and post-operation VAS score of the low-temperature group were obviously lower than those of the routine group (P＜0.05).Conclusion:Intraoperative low-temperature rinse strategies can improve the stability of intra-operative vital signs of the patients who have lumbar vertebra fusion operation to some extent,and can effectively reduce the intra-operative and postoperative wound bleeding volume,postoperative incision pain degree and hospital stay length.关键词
腰椎融合术/低温冲洗策略/生命体征/疗效Key words
lumbar vertebra fusion/low-temperature rinse strategies/vital signs/curative effect引用本文复制引用
米亚玲,杨玉龙..不同温度的术中冲洗方案对单节段腰椎融合手术患者的生命体征及治疗效果的影响[J].国际病理科学与临床杂志,2017,37(4):678-683,6.
