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1、复合保温对腹腔镜异位妊娠手术应激反应影响【摘要】目的评价复合保温对腹腔镜异位妊娠手术患者应激反应的影响。方法选择行腹腔镜异位妊娠患者168例，随机分成A,B两组。其中A组为复合保温组（实验组），B组为常规保温组（对照组），每组84例。分别记录入室前后鼻咽温度T，两组入室后肾上腺素和去甲肾上腺素含量，及送化验科检测凝血功能（分别检测PT,APTT,FBG）。结果①两组患者年龄、性别、体重、气腹压力、气腹时间、输液量、冲洗量、室温等组间比较差异无统计学意义（P>0.05）；②术后A组麻醉复苏时间短。
2、③A组患者肾上腺素气腹后和术毕升高的幅度比B组小，两组比较，差异有统计学意义（P>0.05）。A组患者气腹后的去甲肾上腺素明显低于B组，术毕比较差异无统计学意义（P>0.05）；④两组患者入室的PT,APTT,FBG比较差异无统计学意义（P>0.05），术毕均延长，A组延长的幅度小，术毕与入室相比差异无统计学意义（P>0.05）。B组延长的幅度大，术毕明显高于入室水平。组间比较，术毕各项指标B组明显高于A组差异有统计学意义（P>0.05）。结论围术期患者应用复合保温措施有利维持异位妊娠腹腔镜手术
3、中体温的稳定,减轻腹腔镜手术中的应激反应。10【关键词】异位妊娠，腹腔镜，应激反应TheeffectofCompoundincubationonthepatients’StressreactioninectopicpregnancylaparoscopicoperationLUYi-xia，LEAi-wen,WANGZhong-hai.ChaonanPeople’sHospitalofShantou,Guangdong515144,China【Abstract】ObjectiveToestima
4、tetheeffectofcompoundincubationonthepatients’stressreactionduringtheectopicpregnancylaparoscopicoperation.Methods168patientswhohadectopicpregnancylaparoscopicoperationweredividedintoAandBgrougs.Agroupwasincompoundincubation（experimentalgroup）andBgrou
5、pwasinnormalincubation（controlgroup）,eachhad84patients.WerecordednasopharyngealtemperatureofthetwogroupsseparatelyandthecontentsofADandNEintheroom;wetestedPTAPTTandFBGinchemicalexaminationdepartment.Results①Thepatientsinthetwogroupshadnon-statisticdi
6、fferenceinage,gender,weight,thepressureandtimeofpneumoperitoneum,thevolumeoftransfusionanddouche,roomtemperature,therewerenostatistic10differencebetweenthetwogroups;②Afteroperation,thepatientsingroupAhadshorterpalinesthesia-timeandlessshakesthanthati
7、ngroepB;③TheelevatedextentsofADafterpneumoperitoneumandoperationingroupAwerelessthanthatingroupB,andbothofwhichwerehigherobviouslyafterpneumoperitoneumthanthatbeforeoperation..CompareingwithintheNEafterpneumoperitoneumtwogroupsofNEafterpneumoperitone
8、um,groupAwaslessobviouslythangroupB,therewerenoobviousdifferencebetweenthetwogroups;④ThePT,APTT,FBGbeforeoperationinthetwogroupswerenon-different,whichchangesofprolongextentafteroperationingroupAwerelessthanthatingroupB,therewerenon-obviousdifference
