Effects Of Intraoperative Comprehensive Body Temperature Protection On The Body Temperature And Coagulation Function Of Cesarean Women

Objective:1.To explore the effect of intraoperative comprehensive body temperature protection on the body temperature and coagulation function of cesarean women.2.Provide theoretical basis for the use of comprehensive body temperature protection to prevent hypothermia and its complications during cesarean section.Method:1.Research objectFrom November 2016 to February 2017,82 primiparas who underwent elective cesarean delivery under intraspinal anesthesia in Xingtai people's hospital were selected,and the gestational age ranged from 38 weeks to 40 weeks,with one fetus.There were 41 cases in the experimental group and 41 cases in the control group.2.Research methodsThis experiment is an experimental study,using convenient sampling method.The subjects were randomly divided into experimental group and control group according to coin tossing method.According to the factors causing hypothermia during operation,the experimental group formulated comprehensive thermal protection measures(raising the environmental temperature beforehand,covering the quilt,laying a variable temperature blanket,using self-made cotton sleeve,leg sleeve and shoulder protector,warming blood transfusion and flushing fluid,etc.);the control group entered the room and routinely covered the quilt,using self-made cotton sleeve,shoulder protector and so on.The leg sheath and shoulder protector were infused with room temperature liquid(22 ~24 C)during operation,and the abdominal cavity was washed with room temperature liquid(22 ~24 C).The changes of body temperature,MAP,heart rate,chills and coagulation indexes(TT,APTT,TT,FIB,PLT)were observed.Data were collected and analyzed by SPSS19.0.Result:1.General situation comparisonThere were 41 in the experimental group and 41 in the control group.The two groups were compared on the general situation of age,height,weight,admission temperature,intraoperative infusion volume and operation time,and the differences were not statistically significant(P > 0.05),showing comparability.2.Temperature comparison of the two groupsThere was no statistically significant difference(P>0.05)in the admission temperature between the experimental group and the control group.Compared with the control group,the temperature during skin cutting and after closing the abdominal cavity was statistically significant(P<0.05).In the experimental group,compared with the admission temperature,the temperature during skin cutting and after closing the abdominal cavity was not statistically significant(P>0.05).In the control group,compared with the admission temperature,the temperature during skin cutting and after closing the abdominal cavity was statistically significant(P<0.05).The hypothermia of the control group was more obvious than that of the experimental group.3.Comparison of mean arterial pressure between the two groupsThere was no statistically significant difference(P>0.05)in the admission MAP between the experimental group and the control group.Compared with the control group,the MAP during skin cutting and after closing the abdominal cavity was statistically significant(P<0.05).In the experimental group,compared with the admission MAP,the MAP after closing the abdominal cavity was not statistically significant(P>0.05),the MAP during skin cutting was statistically significant(P<0.05).In the control group,compared with the admission MAP,the MAP during skin cutting and after closing the abdominal cavity was statistically significant(P<0.05).Compared with the experimental group,the MAP in the control group increased significantly and fluctuated more significantly.4.Comparison of maternal heart rate between the two groupsThere was no statistically significant difference(P>0.05)in the admission heart rate between the experimental group and the control group.Compared with the control group,the heart rate during skin cutting and after closing the abdominal cavity was statistically significant(P<0.05).In the experimental group,compared with the admission heart rate,the heart rate after closing the abdominal cavity was not statistically significant(P>0.05),the heart rate during skin cutting was statistically significant(P<0.05).In the control group,compared with the admission heart rate,the heart rate during skin cutting and after closing the abdominal cavity was statistically significant(P<0.05).The heart rate of the control group increased significantly,and the fluctuation range was larger.The heart rate of the experimental group remained relatively stable.5.Comparison of the occurrence of postoperative chills between the two groups showed statistically significant differences(P<0.05).6.Comparison of TT,PT,APTT,FIB and PLT between two groupsThere was no significant difference in TT,PT,APTT,FIB and PLT between the two groups before operation(P>0.05).Postoperative maternal TT,PT,APTT,FIB and PLT were significantly different between the two groups(P<0.05).In the experimental group,compared with the admission TT,PT,APTT,FIB and PLT,the TT,PT,APTT,FIB and PLT after closing the abdominal cavity was not statistically significant(P>0.05);In the control group,TT,PT,APTT,FIB and PLT after closing the abdominal cavity were significantly different compared with that before operation(P<0.05).Conclusion: Comprehensive body temperature protection during cesarean section can maintain the vital signs of puerpera more steadily,reduce the occurrence of hypothermia and chills during and after operation,prevent coagulation disorders caused by hypothermia.