在手术后维持核心温度的患者中,与术后发相关的因素
Kazuhiro Shirozu1, Masako Asada2, Ryotaro Shiraki3
1Operating Rooms, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. shirozu.kazuhiro.334@m.kyushu-u.ac.jp.
JA clinical reports
|November 11, 2024
概括
术后发甚至可以发生在正常的核心温度下. 低周围温度是危险因素,监测它可能有助于防止发. 像芬太尼和乙氨基这样的药物可以减少它的发生.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 手术瘤学手术瘤学
背景情况:
- 手术后发通常与低温有关.
- 然而,在正常或升高的核心体温下,也可能发生.
- 这项研究调查了手术后保持核心温度的患者发的原因.
研究的目的:
- 在胰腺癌手术后维持正常核心体温的患者中,确定与术后发相关的因素.
- 探索外围温度在尽管核心温度稳定,但发的发生中的作用.
主要方法:
- 对441名接受了核心温度≥36.5°C的急性胰腺癌手术的患者进行了回顾性分析.
- 使用后勤回归分析来确定术后发发生率的几率比率 (OR).
主要成果:
- 在119名患者中出现了术后.
- 有意义的关联包括年龄较小 (OR=0.98),操作时间较长 (OR=1.10),术后外周温度较低,术后核心温度较高.
- 芬太尼 (OR=0.66) 和乙氨基 (OR=0.32) 的使用与的减少有关.
结论:
- 低周围温度是发的危险因素,即使保持核心温度.
- 建议对外围温度进行监测,以防止术后发.
- 芬太尼和乙氨基可以减轻这种患者群体的.
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