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在骨盆地重建手术期间老年患者的外科间歇性低温:一项观察性研究

Yang Jiang¹, Zhen-Feng Zhou¹, Ri-Zhi Shao¹

¹Department of Anesthesiology, Hangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital), Hangzhou, 310008, China.

International urogynecology journal

|May 2, 2024

概括

在接受骨盆地重建手术的老年患者中,外科间歇性低温是常见的. 关键预测因素包括腹腔镜手术,更长时间的麻醉,手术前低温和焦虑.

科学领域:

麻醉学麻醉学
老年人手术是一门老年人手术.
患者安全患者安全

背景情况:

外科手术期间的低温是老年手术患者的一个重大问题.
在骨盆地重建手术期间低温的预测因素尚未得到充分确立.

研究的目的:

在接受骨盆地重建手术的老年患者中确定外科手术期间低温的预测因素.
评估与外科手术期间低温相关的结果.

主要方法:

对229名接受骨盆底重建的老年患者进行前性队列研究.
在手术前,麻醉期间和术后监测核心温度.
多变量逻辑回归分析了与低温 (核心温度<36°C) 相关的因素.

主要成果:

50.7%的患者经历了外科手术期间的低温.
确定了预测因素:结合腹腔镜和骨盆底手术,手术前体温<36.5°C,麻醉持续时间≥120分钟,以及高焦虑水平.
多变量模型的预测值为0.767 (95% CI,0.706到0.828).

结论:

在这个患者群体中确定了外科手术期间低温症的关键预测因素.
建议针对已识别的因素进行低温预防策略.
需要进一步的研究来评估这一特定的手术群体中的战略有效性.

关键词:

年长的老年人.身体温度身体温度低温症是什么意思低温症骨盆地重建手术是什么?定期运营期的时间.

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