Aksu Can, Kuş Alparslan, Gürkan Yavuz, Solak Mine, Toker Kamil
Department of Anaesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Turk J Anaesthesiol Reanim. 2014 Apr;42(2):66-70. doi: 10.5152/TJAR.2014.15010. Epub 2014 Jan 6.
Hypothermia is a common problem in anaesthetized patients and an important risk factor for mortality and morbidity. Our aim was to identify the incidence of hypothermia in our operating theatres. We also aimed to find the circumstances to which hypothermia could be related.
After obtaining the ethics committee approval and informed patient consent, patients with operation times longer than 30 minutes were included into the study for a one month period. Demographical data of the patients, type and duration of surgeries, temperatures measured pre and postoperatively from the tympanic membrane with an infrared thermometer were recorded. Temperatures below 35°C were accepted as hypothermia.
A total number of 564 patients were enrolled to the study (305 women and 259 men). The ages of patients varied from 1 month to 84 years (mean 38.5±20.7). Hypothermia incidence was calculated as 45.7%. When the factors related to hypothermia were considered, age, type and duration of surgery and amount of fluids administered were found to be significant contributors to the development of hypothermia (p<0.05).
Postoperative hypothermia is a common problem in our clinic. Therefore, we suggest that temperature monitoring and patient warming should be a routine procedure during anaesthesia management.
体温过低是麻醉患者中常见的问题，也是导致死亡率和发病率的重要风险因素。我们的目的是确定我院手术室中体温过低的发生率。我们还旨在找出可能与体温过低相关的情况。
在获得伦理委员会批准并取得患者知情同意后，将手术时间超过30分钟的患者纳入为期一个月的研究。记录患者的人口统计学数据、手术类型和持续时间，以及使用红外温度计在鼓膜处术前和术后测量的体温。体温低于35°C被视为体温过低。
共有564名患者纳入研究（305名女性和259名男性）。患者年龄从1个月到84岁不等（平均38.5±20.7）。体温过低发生率计算为45.7%。当考虑与体温过低相关的因素时，发现年龄、手术类型和持续时间以及液体输入量是导致体温过低的重要因素（p<0.05）。
术后体温过低是我院临床常见的问题。因此，我们建议在麻醉管理期间，体温监测和患者保暖应作为常规程序。
