Analysis of application effect of water circulation blanket combined with warming flushing fluid in patients with percutaneous nephrolithotomy
10.3760/cma.j.issn.1672-7088.2019.19.006
- VernacularTitle: 水循环保温毯联合加温冲洗液在经皮肾镜碎石术患者中的应用效果分析
- Author:
Dongmei ZHAO
1
;
Cuiyu MA
Author Information
1. Operating Room, Gaochun People′s Hospital of Nanjing Affiliated to Jiangsu Health Jiankang Vocational College, Nanjing 211300, China
- Publication Type:Clinical Trail
- Keywords:
Percutaneous nephrolithotomy;
Insulation blanket;
Flushing fluid
- From:
Chinese Journal of Practical Nursing
2019;35(19):1466-1469
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of water circulation blanket combined with warming flushing fluid in patients with percutaneous nephrolithotomy.
Methods:A total of 86 patients with percutaneous nephrolithotomy who underwent surgery from January 2015 to August 2018 were enrolled in Gaochun People's Hospital of Nanjing. The prospective study was used and the patients were randomly divided into treatment group and control group for 43 patients in each group. The control group used conventional heat preservation measures and warming flushing fluid, and the treatment group used water circulation blanket combined with warming flushing fluid. The stress response, coagulation function, and adverse reactions were compared between the two groups.
Results:The body temperature, mean arterial pressure and heart rate of the treatment group 1 hour after surgery were (37.04±0.30) °C, (94.12±8.24) mmHg, (82.06±7.82) times/min, respectively, after the completion of the operation, the indexes were (36.97±0.40) °C, (95.36±8.15) mmHg, and (82.78±8.21) times/min. The control group 1 hour after surgery indexes was (36.74±0.36) °C, (90.12±8.21) mmHg, (85.78±8.32) times/min, after the completion of the operation, the indexes were (35.76±0.42) °C, (90.42±6.54) mmHg, and (90.32±7.43) times/min. The difference between the two groups was statistically significant (t=2.136-13.680, P<0.05 or 0.01). The serum fibrinogen, activated partial thrombin time and thrombin time in the treatment group were (3.10±0.52) g/L, (30.08±1.85) s, (17.02±1.60) s, respectively, and the control group was (3.85±0.60) g/L, (33.42±1.74) s, (19.56±1.75) s. The difference between the two groups was statistically significant (t=6.194, 8.624, 7.024, P<0.05 or 0.01).The incidence of adverse reactions such as hypothermia in the treatment group was 6.98% (3/43), which was significantly lower than that in the control group 27.91% (12/43). The difference was statistically significant (χ2=6.541, P<0.05).
Conclusions:The water circulation blanket combined with warming flushing fluid can help relieve the stress response of patients with percutaneous nephrolithotomy, maintain the body's coagulation function stable, and reduce adverse reactions such as intraoperative hypothermia.
