外科手术期间强制加热空气毯对接受脊柱手术的老年成人患者在全身麻醉下的影响
Youngduck Shin1, Jooyong Lee2, Haewon Seo3
1Youngduck Shin, Department of Anesthesiology and Pain Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea. Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Pakistan journal of medical sciences
|March 28, 2024
概括
预防性主动变暖有效降低了经历脊柱手术的老年人体内的低温. 这种干预措施通过在麻醉后保持正常的体温来改善患者的结果.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
背景情况:
- 人口老龄化 (≥65岁) 正在增加,导致对老年人进行的手术增加.
- 老年人更容易患低温症,原因是与年龄有关的温度调节变化,增加了手术并发症风险.
- 低温可以导致心血管变化,凝血障碍,感染,以及手术患者的延迟恢复.
研究的目的:
- 为了研究预防性活跃加热在接受脊髓手术的老年成人患者的有效性.
- 评估在麻醉诱导和手术后活动升温对低温发病率的影响.
主要方法:
- 常布克国家大学医院的回顾性队列研究 (2020年1月 - 2022年12月).
- 包括老年成人患者 (≥65岁) 在全身麻醉下接受脊髓手术.
- 比较了接受预防性活体变暖治疗的患者与对照组的结局.
主要成果:
- 对照组显示了低温的快速增加,在60分钟内达到100%.
- 活跃升温组的低温发病率较低,90%的人在康复室恢复到正常温度.
- 在两组之间观察到低温症发展的统计学上显著差异.
结论:
- 使用空气强制加热毯的预防性活跃加热在接受脊柱手术的老年人中是有效的.
- 积极升温是一种可行的策略,可以减轻低温症及其相关并发症在这个脆弱的患者群体.
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