摘要
Abstract
Objective:To explore the clinical nursing effect of the whole process closed-loop temperature management on patients with neck of femur fracture.Methods:91 patients with neck of femur fracture admitted in Tianjin hospital from June 2020 to May 2022 were selected and divided into a control group(n=45)and an observation group(n=46)according to the computer grouping method.The control group was given routine temperature monitoring management,and the observation group was given full closed-loop temperature management.The intraoperative blood loss,postoperative recovery,core temperature changes at different times,blood coagulation index levels,and the incidence of perioperative adverse reactions were observed in the two groups.Results:The intraoperative blood loss in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The time of awakening,extubation,and postanesthesia care unit(PACU)retention in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).At the time of skin incision and the end of surgery,the body temperature of both groups decreased,but the observation group was higher than the control group,the differences were statistically significant(P<0.05).When leaving PACU,the body temperature of both groups increased,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The thrombin time,prothrombin time and activated partial thromboplastin time in both groups decreased,but those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of hypothermia,chills,and restlessness in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The whole process closed-loop temperature management for patients with neck of femur fracture is conducive to maintaining core temperature,improving coagulation function,reducing intraoperative blood loss,thus reducing the incidence of postoperative hypothermia,shivering,restlessness,and promoting postoperative recovery.关键词
股骨颈骨折/全程闭环体温管理/体温/凝血指标Key words
Neck of femur fracture/Whole process closed-loop temperature management/Body temperature/Coagulation indicators分类
医药卫生
