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腹腔镜手术期间手术内低温的危险因素:系统性审查和元分析

Hao Wang¹, Alei Wang¹, Xiaoyan Song¹

¹Sixth People's Hospital South Campus Affiliated to Shanghai Jiaotong University, Shanghai, China.

|July 17, 2025

概括

这项研究确定了腹腔镜手术期间手术内低温的关键风险因素. 诸如运行时间延长和二氧化碳吸入量增加等因素显著增加了低温风险,为预防策略提供了信息.

科学领域:

麻醉学和外科手术期间的医学.
手术安全和患者结果.
最少侵入性的手术

背景情况:

术内低温是腹腔镜手术中常见的并发症,与患者不良结果有关.
确定可修改的风险因素对于制定有效的预防和管理策略至关重要.

研究的目的:

系统地评估进行腹腔镜手术的患者手术内低温的全球风险因素.
为预防和管理与低温有关的并发症提供基于证据的信息.

主要方法:

对2024年6月1日之前发表的研究进行系统审查和元分析.
搜索了多个数据库,包括PubMed,CINAHL,科学网,EMBASE,CNKI和万芳.
包括11项符合NOS或AHRQ标准的研究 (3550例);使用RevMan 5.4.4分析的数据.

主要成果:

确定了手术内低温症的14个危险因素.
显著的危险因素包括晚年 (OR 1.02),高的手术内二氧化碳量 (> 200 L, OR 1.5),长时间的手术 (> 120 分钟, OR 2.32) 和麻醉 (> 150 分钟, OR 1.55) 持续时间.
静脉注射液体体积增加 (>1500毫升,或1.77),以及手术期间流血 (≥150毫升,或1.66) 也是显著的危险因素.

结论:

年龄,二氧化碳灌注量,手术和麻醉持续时间,静脉输液量和血液损失是腹腔镜手术中手术内低温的重要危险因素.
调查结果强调需要有针对性的干预措施来减轻这些风险.
建议进一步进行高质量的研究,以验证这些结论,因为目前文献的局限性.

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