在监控麻醉护理下接受支臂治疗的患者的意外低温:前性观察队列研究
Ismail Aytac1, Betül Guven Aytac2, Aysun Postaci2
1Department of Anesthesia Chief Assistant, Health Science University, Ankara City Hospital, Department of Anesthesia, Ankara, Turkey.
Medicine
|October 31, 2023
概括
低温是常见的在宫癌支臂疗法在镇静下. 建议定期监测温度和积极升温,以防止接受这种癌症治疗的患者出现不良结果.
科学领域:
- 在瘤学瘤学.
- 麻醉学 麻醉学
- 患者安全 患者安全
背景情况:
- 支臂疗法是一种主要的宫癌治疗方法,通常需要麻醉.
- 在静止下进行支臂疗法时出现低温的风险尚未得到充分证实.
- 低温会导致患者的不良结果.
研究的目的:
- 为了确定在深度镇静下治疗宫癌的支臂疗法期间低温的患病率.
- 调查麻醉时间和体温变化之间的关联.
- 为了确定与低温相关的不良反应在这个患者群体中的发生率.
主要方法:
- 预期的观察性队列研究.
- 包括18岁以上的女性患者,在深度镇静下接受宫癌连续支臂疗法.
- 在手术前后使用红外温度计监测患者的体温.
主要成果:
- 在8.7%的患者和5.4%的疗程中检测到低温.
- 在麻醉时间和术后体温 (r = -0.385,P < .001) 之间发现了显著的负相关性.
- 温度下降≥0.4°C发生在69.9%的患者和37%的会议中.
结论:
- 在静止下进行的宫癌支臂治疗期间,非自愿的低温是潜在的风险.
- 常规温度监测对于早期发现低温至关重要.
- 应实施积极变暖措施,以减轻癌症患者的低温及其不良影响.
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