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“一项创新技术”主动保暖与被动保暖对围手术期非计划体温过低的影响:一项临床试验

Effect of "An Innovative Technology" Active Warming and Passive Warming on Unplanned Hypothermia During Perioperative Period: A Clinical Trial.

作者信息

Soysal Ganime Esra, İlçe Arzu, Erkol Mehmet Hayri

机构信息

Department of Nursing, School of Health, Abant İzzet Baysal University, Bolu, Turkey.

Department of General Surgery, Medical Faculties, Abant Izzet Baysal University, Bolu, Turkey.

出版信息

Ther Hypothermia Temp Manag. 2018 Dec;8(4):216-224. doi: 10.1089/ther.2017.0048. Epub 2018 May 10.

Abstract

Patients are at risk for unplanned hypothermia during the perioperative period due to many reasons, including anesthesia, low room temperature, cold intravenous fluid, and blood transfusion. This study was conducted to examine the effect of active and passive warming methods applied in patients during the perioperative period on unplanned hypothermia. This study is a case-control type study. The population of this study is composed of the patients hospitalized in surgical clinic and undergone abdominal region-related operations. Ninety patients were accidentally included in the study. The first group of patients were actively warmed during the perioperative period (carbon fiber resistive system - W-500D + 190 × 50 cm), the second group was passively warmed at least for 20 minutes during preoperative period (with blanket, socks etc.), and the third group was followed up as the control group. It was established that body temperature average of the active warming group has significantly increased during perioperative period ( < 0.001), and this temperature was significantly higher than the other groups until the third hour. It was found that the body temperature average of all groups was equal to 36.2 ± 0.26, 35.4 ± 0.49, and 35.2 ± 0.47, respectively, at the end of operation, and the difference among them was statistically significant ( ≤ 0.001). The active warming method applied with carbon fiber resistive system during the perioperative period is an effective method.

摘要

由于多种原因,患者在围手术期有发生非计划体温过低的风险,这些原因包括麻醉、室温过低、冷的静脉输液和输血。本研究旨在探讨围手术期对患者应用主动和被动保暖方法对非计划体温过低的影响。本研究为病例对照研究。本研究的人群由在外科门诊住院并接受腹部相关手术的患者组成。90名患者意外纳入本研究。第一组患者在围手术期接受主动保暖(碳纤维电阻系统 - W - 500D + 190×50 cm),第二组在术前至少被动保暖20分钟(使用毯子、袜子等),第三组作为对照组进行随访。结果显示,主动保暖组的体温平均值在围手术期显著升高(<0.001),并且在第三小时前该体温显著高于其他组。结果发现,手术结束时所有组的体温平均值分别为36.2±0.26、35.4±0.49和35.2±0.47,它们之间的差异具有统计学意义(≤0.001)。围手术期应用碳纤维电阻系统的主动保暖方法是一种有效的方法。

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