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围手术期低体温与手术伤口感染发生率:一项文献研究

Perioperative hypothermia and incidence of surgical wound infection: a bibliographic study.

作者信息

Silva Aline Batista da, Peniche Aparecida de Cassia Giani

机构信息

Universidade de São Paulo, São Paulo, SP, Brazil.

Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2014 Oct-Dec;12(4):513-7. doi: 10.1590/S1679-45082014RW2398.

DOI:10.1590/S1679-45082014RW2398
PMID:25628208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4879923/
Abstract

The purpose of this review article was to understand and analyze the scientific production related to the occurrence of perioperative hypothermia and the incidence of infection on the surgical site. For this purpose, a search was conducted in the databases LILACS, MEDLINE, PubMed, CINAHL and Cochrane, using the health science descriptors DECS, from 2004 to 2009. A total of 91 articles were found. After eliminating duplicate items and using selection criteria for inclusion, six manuscripts remained for analysis. The studies were classified as retrospective, prospective, case studies, and clinical trials. After analysis, the majority of studies showed that hypothermia must be prevented during the perioperative period to reduce complications in the healing process of the surgical incision. Therefore, unadverted hypothermia directly influences in surgical site healing, increasing the incidence of infection in the surgical wound.

摘要

这篇综述文章的目的是了解和分析与围手术期体温过低的发生以及手术部位感染发生率相关的科研成果。为此,于2004年至2009年期间,使用健康科学描述符DECS在LILACS、MEDLINE、PubMed、CINAHL和Cochrane数据库中进行了检索。共找到91篇文章。在剔除重复条目并应用纳入选择标准后,剩下6篇手稿用于分析。这些研究被分类为回顾性研究、前瞻性研究、案例研究和临床试验。经过分析,大多数研究表明,围手术期必须预防体温过低,以减少手术切口愈合过程中的并发症。因此,意外发生的体温过低会直接影响手术部位的愈合,增加手术伤口感染的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/4686e2684870/1679-4508-eins-12-4-0513-gf03-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/de15df4aae2b/1679-4508-eins-12-4-0513-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/365a951b13f8/1679-4508-eins-12-4-0513-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/d32644703938/1679-4508-eins-12-4-0513-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/15e767bcd0a4/1679-4508-eins-12-4-0513-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/4686e2684870/1679-4508-eins-12-4-0513-gf03-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/de15df4aae2b/1679-4508-eins-12-4-0513-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/365a951b13f8/1679-4508-eins-12-4-0513-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/d32644703938/1679-4508-eins-12-4-0513-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/15e767bcd0a4/1679-4508-eins-12-4-0513-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a10/4879923/4686e2684870/1679-4508-eins-12-4-0513-gf03-pt.jpg

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本文引用的文献

1
Evidence-based guidelines for prevention of perioperative hypothermia.围手术期低体温预防的循证指南
J Am Coll Surg. 2009 Oct;209(4):492-503.e1. doi: 10.1016/j.jamcollsurg.2009.07.002. Epub 2009 Aug 20.
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Hypothermia and surgery: immunologic mechanisms for current practice.体温过低与手术:当前实践中的免疫机制
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Emergency total aortic arch replacement for a renal transplant recipient by mild hypothermia with selective cerebral perfusion.肾移植受者采用轻度低温联合选择性脑灌注进行急诊全主动脉弓置换术。
Gen Thorac Cardiovasc Surg. 2009 Apr;57(4):211-3. doi: 10.1007/s11748-008-0370-4. Epub 2009 Apr 15.
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Prevention of perioperative hypothermia in plastic surgery.整形外科手术围手术期体温过低的预防
Aesthet Surg J. 2006 Sep-Oct;26(5):551-71. doi: 10.1016/j.asj.2006.08.009.
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Perioperative complications of hypothermia.围手术期低温的并发症。
Best Pract Res Clin Anaesthesiol. 2008 Dec;22(4):645-57. doi: 10.1016/j.bpa.2008.07.005.
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Thermal care in the perioperative period.围手术期的体温管理
Best Pract Res Clin Anaesthesiol. 2008 Mar;22(1):39-62. doi: 10.1016/j.bpa.2007.10.004.
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Hypothermia/warming protocols: why are they not widely used in the OR?
AORN J. 2008 Feb;87(2):333-44. doi: 10.1016/j.aorn.2007.08.021.
9
Warming of intravenous fluids prevents hypothermia during off-pump coronary artery bypass graft surgery.静脉输液加温可预防非体外循环冠状动脉搭桥手术期间的体温过低。
J Cardiothorac Vasc Anesth. 2008 Feb;22(1):67-70. doi: 10.1053/j.jvca.2007.04.003. Epub 2007 Jun 27.
10
Surgical site infection: the host factor.手术部位感染:宿主因素
AORN J. 2007 Nov;86(5):801-10; quiz 811-4. doi: 10.1016/j.aorn.2007.06.022.