短暂的手术前升温时间对尿道外石手术的影响:一项随机对照试验
Jingjing Wan1, Yuelong Jin2, Lijun Zhu2
1Department of Nursing, Anhui College of Traditional Chinese Medicine, Wuhu, Anhui, China.
概括
在泌尿器科患者中,手术前加热有效地预防无意间的手术前低温症 (IPH). 15分钟的预热期足以实现有益的临床效果,包括改善核心温度和减少IPH发生率.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 患者安全 患者安全
背景情况:
- 意外的外科手术期间低温 (IPH) 是手术期间常见的并发症.
- 手术前升温是一种预防IPH和维持正常热量的策略.
- 术前加热的最佳持续时间需要进一步研究临床实践.
研究的目的:
- 评估手术前加热对患者热保护的影响.
- 为了确定泌尿外科手术的术前加热的适当持续时间.
- 评估IPH和相关结果的发生率.
主要方法:
- 这是一项随机对照试验,涉及117名泌尿病患者.
- 患者被分配到没有预热,15分钟预热或30分钟预热的组.
- 核心温度,IPH发生率,,输出管时间和停留时间都被监测.
主要成果:
- 预热 (15分钟和30分钟) 与没有预热相比,显著增加了手术内核心温度.
- 在预热组中,IPH的发病率明显较低 (33.3%-37.8%),而非预热组 (65.8%).
- 对于任何结果,在15分钟和30分钟预热组之间没有发现显著差异.
结论:
- 手术前的加热有效地保持了手术期间的核心温度,并降低了经过过尿道石的患者的IPH发生率.
- 15分钟的手术前预热期足以达到有益的临床效果.
- 预热是一种有价值的策略,可以在泌尿器科手术期间增强患者的热保护.
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