Scott Eileen M, Buckland Richard
University of Durham, Stockton-on-Tees, England.
AORN J. 2006 May;83(5):1090-104, 1107-13. doi: 10.1016/s0001-2092(06)60120-8.
This systematic review examines whether preventing hypothermia during surgery prevents postoperative complications and thereby improves outcomes for patients. Twenty-six randomized controlled trials were identified, and data extraction and assessment of study quality were carried out by two researchers independently. The results of studies with similar patients, surgical procedures, and outcomes were pooled. Outcomes measured included postoperative pain levels, thermal comfort, and treatment costs. Postoperative complications identified were shivering, cardiac events, need for blood transfusion, wound infections, and pressure ulcers. The majority of studies favored treatment.
本系统评价旨在探讨手术期间预防体温过低是否能预防术后并发症,从而改善患者预后。共纳入26项随机对照试验,由两名研究人员独立进行数据提取和研究质量评估。对患者、手术方式和结局相似的研究结果进行汇总分析。测量的结局指标包括术后疼痛程度、热舒适度和治疗费用。确定的术后并发症包括寒战、心脏事件、输血需求、伤口感染和压疮。大多数研究支持治疗。