紧急剖腹产期间的手术内温度管理:一项追溯观察性研究
Ran Zhang1, Qiang Zhou2, Hongli Guan3
1Department of Nursing, Suzhou Municipal Hospital of Anhui Province, Suzhou Hospital of Anhui Medical University, Anhui Province, China.
BMC anesthesiology
|September 30, 2024
概括
在紧急剖腹产期间,手术内低温是常见的. 建议主动使用主动升温方法,特别是对于手术前温度低或手术时间长的患者,以减少风险.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 患者安全 患者安全
背景情况:
- 术内低温是剖腹产 (剖腹产) 的常见并发症.
- 它与增加孕产妇发病率和死亡率有关.
- 识别风险因素对于预防至关重要.
研究的目的:
- 调查在接受紧急剖腹产的妇女中与手术内低温相关的危险因素.
- 为了确定主动加热方法在预防低温的有效性.
主要方法:
- 追溯研究87名接受紧急剖腹产的妇女.
- 收集的数据包括基线特征,热状态和术后信息.
- 后勤回归分析确定了低温 (核心温度<36°C) 的风险因素.
主要成果:
- 在87名患者中,有30名患者经历了手术期间的低温.
- 手术前的核心温度低于36.5°C (OR4.22) 和更长的手术持续时间 (每10分钟,OR1.97) 是显著的危险因素.
- 主动加热方法降低了低温的风险 (OR 0.19).
结论:
- 在紧急剖腹产中,手术内低温很常见.
- 建议所有患者主动应用主动升温.
- 应特别注意基线温度低 (<36.5°C) 和预计手术持续时间长的妇女.
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