在腹腔镜手术患者的手术内低温的影响:一项回顾性队列研究
Tashi Penjore1, Maliwan Oofuvong1, Sunisa Chatmongkolchart1
1Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
PloS one
|January 30, 2025
概括
在腹腔镜手术期间的手术内低温会增加心律失常和更长时间的PACU停留的风险. 需要有效的管理策略来改善这些程序中的患者结果.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 术内低温 (核心温度<36°C) 是外科手术中的一个问题.
- 腹腔镜手术对温度调节提出了独特的挑战.
研究的目的:
- 调查腹腔镜手术的成年患者的手术内低温和术后结果之间的关联.
- 在这些程序期间确定与低温发作相关的特定风险.
主要方法:
- 对接受腹腔镜手术的2048名成年患者的回顾性分析.
- 收集了对低温发作 (单次或多次) 和各种患者结局的数据.
- 使用后勤/线性回归模型来确定关联的统计分析.
主要成果:
- 34.9%的患者经历了手术后体温下降.
- 低温与手术期间心律不整的风险增加相关.
- 患有低温症的患者在麻醉后护理单位 (PACU) 停留时间更长,术后氧气需求更高.
结论:
- 术内低温与腹腔镜手术的不良结果有关,包括心律失常和长时间的PACU停留.
- 建议进行进一步的研究和前性研究,以制定有效的手术内低温症管理策略.
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