重庆医学2017，Vol.46Issue(30)：4190-4191,4195,3.DOI:10.3969/j.issn.1671-8348.2017.30.005
两种核心体温监测方法对心脏直视手术体外循环时间及凝血功能的影响
Effects of two different core temperature monitoring methods on cardiopulmonary bypass time and coagulation function in open heart surgery
摘要
Abstract
Objective To explore the effect of two different core temperature monitoring methods on cardiopulmonary bypass and coagulation function in open heart surgery to provide a reference for monitoring the core body temperature in open heart surgery. Methods One hundred and forty patients undergoing open heart surgery in this hospital from June to December 2016 were divided into the control group(n= 70) and observation group (n= 70). The control group monitored the temperature of nasopharynx and bladder. The observation group monitored the temperature of rectum and nasopharynx. The temperature falling time of cardiopul monary bypass, time of blocking ascending aorta,time of rewarming, total time of cardiopulmonary bypass were recorded during operation. The coagulation function was monitored on 1 d before surgery and at the end of surgery,including thrombolytic time (TT), prothrombin time (PT) and activated partial thromboplastin time (APTT). Results The temperature falling time,rewarming time, total time of cardiopulmonary bypass in the control group were more than those in the observation group, the difference was statistically significant(P<0.01);there was no statistically significant difference in coagulation function indicators(TT,PT,APTT) before operation between the two groups (P> 0.05). At the end of the operation, the coagulation function indicators (TT, PT, APTT) had statistically significant difference between the two groups (P<0.01). The coagulation function indicators in the observation group were better than those in the control group. Conclusion Using the rectal temperature for monitoring the core tempera ture in the patients undergoing open heart surgery under cardiopulmonary bypass is better than using bladder temperature, which can shorten the time of cardiopulmonary bypass and improves coagulation function.关键词
核心体温/体外循环/心脏直视术/凝血功能Key words
core temperature/cardiopulmonary bypass/open heart surgery/coagulation分类
医药卫生引用本文复制引用
曾彦超,易凤琼,张光新,赵伟鹏,钟昌艳..两种核心体温监测方法对心脏直视手术体外循环时间及凝血功能的影响[J].重庆医学,2017,46(30):4190-4191,4195,3.基金项目
国家临床重点专科建设基金资助项目(财社[2011]170号) （财社[2011]170号）
重庆医科大学附属第一医院护理基金资助项目(HLJJ2015-15). （HLJJ2015-15）
