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选择性剖腹产期间的孕产妇低温:一个前性观察性研究
Irene Brodshaug1,2, Elizabeth Reine1, Johan Raeder2,3
1Department of Nurse Anaesthesia, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Acta anaesthesiologica Scandinavica
|October 25, 2023
概括
近三分之一的剖腹产患者经历了外科手术期间的低温症,核心体温低于36.0°C. 这种低温平均持续77分钟,突显了持续监测温度和采取温暖化措施的必要性.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 在外科手术期间的医学.
背景情况:
- 剖腹产患者容易发生意外的外科手术期间低温 (<36.0°C).
- 之前的研究往往缺乏准确的,连续的核心温度测量在整个外科手术期间.
研究的目的:
- 为了确定选择性剖腹产产生的外科手术期间母亲低温的发生率和持续时间.
- 使用高精度的连续温度监测系统进行精确的测量.
主要方法:
- 一项前性观察性研究,涉及18岁以上的女性,她们在脊髓麻醉下进行选择性剖腹产.
- 使用非侵入性零热流体温度计 (贝尔·哈格尔系统) 进行持续的母体核心温度监测.
主要成果:
- 32.5%的参与者出现了外科手术期间的低温症.
- 低温的平均持续时间为77±40分钟,延伸到术后阶段.
- 与基线相比,低温患者在进入手术室时的核心温度明显降低.
结论:
- 在接受剖腹产的妇女中,很大一部分经历了外科手术期间的低温.
- 低温症的持续时间往往延伸到术后期.
- 医疗保健专业人员应优先考虑持续的核心温度监测,并实施升温策略,以管理外科手术期间的低温症.
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