[手术内低温与接受非心脏手术的新生儿患者的结局之间的关联]
1Department of Anesthesiology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310057, China.
Zhonghua yi xue za zhi
|June 13, 2024
概括
在接受非心脏手术的新生儿中,手术内低温显著增加了长时间住院,死亡率,肺部并发症,出血和酸的风险. 保持正常的体温对于这些易受伤害的患者的手术后结果更好至关重要.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 新生儿护理 新生儿护理
背景情况:
- 术内低温是新生儿手术中常见的并发症.
- 维持正常热量对于优化新生儿手术后结果至关重要.
研究的目的:
- 调查手术内低温与非心脏手术的新生儿手术后各种后果之间的关联.
- 量化与手术内低温相关的长时间住院,死亡率,肺部并发症,出血和酸化的风险.
主要方法:
- 对1008名接受非心脏手术的新生儿患者进行了回顾性分析.
- 根据最低的手术内体温,患者被分为正常热量和轻度,中度或重度低温组.
- 使用多变量逻辑回归来评估低温和不良结果之间的关系.
主要成果:
- 75.6%的新生儿经历了手术期间的低温.
- 低温症的严重程度增加与术后住院时间显著长,30天死亡率更高,肺部并发症,出血/输血和酸的发病率增加相关 (所有P<0.05).
- 严重的低体温与长时间住院和肺部并发症有关,而所有低体温水平都增加了出血/输血风险,轻度/中度低体温增加了酸化风险.
结论:
- 术内低温是患非心脏手术的新生儿手术后不良后果的重要危险因素.
- 这些发现强调了警的温度监测和管理的重要性,以改善新生儿手术结果.
- 预防和减轻手术内低温症对于降低术后发病率和死亡率至关重要.
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