Postanesthesia Care Unit, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Operation Room, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Ann Palliat Med. 2021 Nov;10(11):11394-11402. doi: 10.21037/apm-21-2716.
Several studies have evaluated the association between thermal insulation (TI) and control after surgery, with various research designs, recruitment and exclusion criteria, and measurements. The current meta-analysis aimed to assess the correlation between TI and stroke during recovery from anesthesia.
We searched for full-text articles of us of TI during anesthesia recovery in multiple databases including PubMed, Springer, EMBASE and Chinese journal full-text databases. Two reviewers read each article and extracted the relevant data of into a Microsoft Excel table: name of the first author, publication year, year of onset, sample size (TI/control group), patient age range, and other information related to TI patients and control group. The meta-analysis, sensitivity analysis and bias analysis were performed using Review Manager 5.0.
A total of 723 patients from 7 studies met the eligibility criteria and were included in the final analysis. The meta-analysis showed that the recovery time after anesthesia in the TI group was significantly different from that in the control group [mean difference (MD) =-7.02, 95% confidence interval (CI): -10.10 to -3.95, P<0.00001; P for heterogeneity <0.00001, I2=99%], length of stay in Postanesthesia Care Unit (PACU) score [MD =-20.78, 95% CI: -31.32 to -10.24, P=0.0001; P for heterogeneity <0.00001, I2=92%] and shivering rate [relative risk (RR) =0.25, 95% CI: 0.08 to 0.77, P=0.02; P for heterogeneity =0.07, I2=71%].
TI is an important measure during recovery from anesthesia.
多项研究评估了热绝缘（TI）与手术后控制之间的关联，研究设计、招募和排除标准以及测量方法各不相同。本荟萃分析旨在评估 TI 与麻醉恢复期中风之间的相关性。
我们在多个数据库中搜索了麻醉恢复期使用 TI 的全文文章，包括 PubMed、Springer、EMBASE 和中国期刊全文数据库。两位评审员阅读每篇文章，并将相关数据提取到 Microsoft Excel 表格中：第一作者姓名、出版年份、发病年份、样本量（TI/对照组）、患者年龄范围以及与 TI 患者和对照组相关的其他信息。使用 Review Manager 5.0 进行荟萃分析、敏感性分析和偏差分析。
共有 7 项研究的 723 名患者符合入选标准并纳入最终分析。荟萃分析显示，TI 组的麻醉后恢复时间与对照组有显著差异[平均差异（MD）=-7.02，95%置信区间（CI）：-10.10 至-3.95，P<0.00001；异质性 P<0.00001，I2=99%]，术后恢复室（PACU）评分的停留时间[MD=-20.78，95%CI：-31.32 至-10.24，P=0.0001；异质性 P<0.00001，I2=92%]和寒战发生率[相对风险（RR）=0.25，95%CI：0.08 至 0.77，P=0.02；异质性 P=0.07，I2=71%]。
TI 是麻醉恢复期的重要措施。
