AORN J. 2021 Mar;113(3):265-275. doi: 10.1002/aorn.13327.
Surgical patients may experience inadvertent perioperative hypothermia, a condition that can cause a variety of complications, including surgical site infection (SSI). The authors of this systematic review used the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines to examine the role of perioperative hypothermia in the development of SSI. The authors searched the PubMed, Cumulative Index Nursing and Allied Health Literature, Cochrane, and ScienceDirect databases for eligible articles published between January 2008 and November 2018 and identified seven studies that met the inclusion criteria. The results of this review indicate that the relationship between hypothermia and SSI is closely related to the type of the surgical intervention performed (eg, emergent, colorectal), and that severe hypothermia (eg, <35.0° C [95.0° F]) can increase the risk of developing an SSI. Perioperative nurses should monitor patients for inadvertent hypothermia and prevent its occurrence when possible.
手术患者可能会经历意外的围手术期低体温，这种情况会导致多种并发症，包括手术部位感染（SSI）。本系统评价的作者使用系统评价和荟萃分析方案的首选报告项目指南，研究围手术期低体温与 SSI 发展之间的关系。作者在 PubMed、Cumulative Index Nursing and Allied Health Literature、Cochrane 和 ScienceDirect 数据库中搜索了 2008 年 1 月至 2018 年 11 月期间发表的符合纳入标准的文章，并确定了 7 项研究。本综述的结果表明，低体温与 SSI 之间的关系与手术干预的类型密切相关（例如，紧急、结直肠），严重的低体温（例如，<35.0°C[95.0°F]）会增加发生 SSI 的风险。围手术期护士应监测患者是否出现意外低体温，并尽可能预防其发生。
