在肩关节镜检查期间加热灌液对患者体温,恢复和认知功能的影响:对影响因素的前性分析
Jingfeng Liu1, Xiaohong Huang2, Xiaowei Xu3
1Department of Orthopedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Orthopaedic surgery
|July 16, 2025
概括
在肩膀关节镜检查期间加热的灌液有效地保持了患者的核心体温,可能减少恢复时间和并发症. 这一发现支持其在最小侵入性手术中用于改善患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 患者安全 患者安全
- 温度调节 温度调节 温度调节
背景情况:
- 肩部关节镜检查是一种常见的微创手术.
- 维持手术内正常热量对于患者的治疗结果至关重要.
- 低温会导致恢复延迟和并发症增加.
研究的目的:
- 为了评估加热的灌液对肩部关节镜检查期间患者温度调节的影响.
- 评估加热灌液对恢复结果和认知功能的影响.
- 为了确定加热的灌液是否会影响术后认知障碍.
主要方法:
- 一项随机的单盲前性研究,涉及85名接受肩膀关节镜检查的患者.
- 患者被分为两组:加热的灌液和室温液.
- 在手术前和手术后监测了手术内温度和认知功能 (MMSE,MoCA).
主要成果:
- 温暖的灌液显著防止了核心体温下降.
- 观察到一种趋势,即加热液体的麻醉恢复时间更短.
- 手术后认知能力下降主要影响记忆和注意力;教育水平是关键因素.
结论:
- 温暖的灌液在肩膀关节镜检查期间有效地保持核心体温.
- 这种做法可以减少恢复时间和与程序相关的并发症.
- 最少侵入性关节镜术与术后认知障碍的较低率有关.
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