摘要
目的 探讨手术室保温护理对老年股骨粗隆间骨折患者术中出血量、维持凝血功能以及术后并发症的影响。方法 收集我院2025年1月至2025年11月收治的59例老年股骨粗隆间骨折手术患者分为对照组（31例）与实验组（28例），对照组实施常规手术护理，实验组在常规护理基础上实施综合保温护理。结果 两组患者手术前后的活化部分凝血活酶时间（aPTT）、纤维蛋白原（Fbg）、凝血酶时间（TT）及凝血酶原时间（PT）差异无统计学意义（P＞0.05），并发症方面差异具有统计学意义（P＜0.05）。结论 对老年股骨粗隆间骨折手术的患者实施手术室综合保温护理，可有效减少术中出血量，具有积极的临床推广价值。
关键词： 老年股骨粗隆间骨折；手术室保温护理；术中出血量；凝血功能
Abstract
Objective To explore the impact of operating room warming nursing on intraoperative blood loss, maintenance of coagulation function, and postoperative complications in elderly patients with intertrochanteric fractures of the femur. Methods A total of 59 elderly patients with intertrochanteric fractures of the femur admitted to our hospital from January 2025 to November 2025, were divided into a control group (31 cases) and an experimental group (28 cases). The control group received conventional surgical nursing, while the experimental group received comprehensive warming nursing on top of conventional nursing. Results There were no statistically significant differences in activated partial thromboplastin time (aPTT), fibrinogen (Fbg), thrombin time (TT), and prothrombin time (PT) between the two groups before and after surgery (P > 0.05). However, there was a statistically significant difference in complications (P < 0.05). Conclusion Implementing comprehensive warming nursing in the operating room for elderly patients undergoing surgery for intertrochanteric fractures of the femur can effectively reduce intraoperative blood loss and has positive clinical promotion value.
Key words： Elderly intertrochanteric fracture of femur; Operating room temperature maintenance nursing; Intraoperative blood loss; Coagulation function
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