Effect of different intraoperative insulation methods on hypothermia and surgical site infection in patients with gastrointestinal surgery
10.13699/j.cnki.1001-6821.2015.18.011
- VernacularTitle:不同术中保温对开腹手术患者低体温及手术部位感染的影响
- Author:
Jun-Shuo ZHANG
1
;
Zhong-Hua CHU
;
Xi FANG
;
Huai-Du PENG
Author Information
1. 汕头市中心医院 外科
- Keywords:
gastrointestinal surgery;
inflatable warm;
hypothermia;
surgical site infection;
coagulation disorder
- From:
The Chinese Journal of Clinical Pharmacology
2015;(18):1834-1836
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of different intraoperative insulation methods on hypothermia and surgical site infection in patients with gastrointestinal surgery .Methods A total of 200 patients with gas-trointestinal surgery were randomly divided into control group ( n=100 ) and experiment group ( n =100 ) .The patients in control group were given to cover with quilts.The experiment group patients were given to cover with quilts combined with inflatable warm .The body temperature changes , hypothermia rate , prothrombin time ( PT ) , thrombin time (TT), activated partial thromboplastin time ( APTT), bleeding volume and surgical site infection rate were compared between the two groups . Results In the process of operation , the body temperature of observation group had no obvious change , but compared with the control group , significantly different ( P <0.05 ) .The hypothermia rate of experiment group significantly lower than that of control group ( 10.0%vs 67.0%) , (P<0.05).The PT, APTT and TT of experiment group had no obvious change , statistically different from those of the control group (P<0.05).The bleeding volume of experiment group significantly less than control group ( P<0.05 ) . The surgical site infection rate of experiment group significantly lower than that of control group ( 3.0% vs 17.0%, P <0.05 ) .Conclusion Using inflatable warm nursing on patients with gastrointestinal surgery can effectively maintain body temperature , decrease hypothermia , improve coagulation function , reduce bleeding volume and surgical site infection rate .