寒冷的温度,热的风险:老年患者的外科手术期间低温 - - 叙述性综述
Jae Hwa Yoo1, Tae-Yun Sung2, Chung-Sik Oh3,4,5,6
1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
Anesthesia and pain medicine
|August 12, 2025
概括
年长的成年人面临着由于衰老而导致手术内低温的更高风险.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 身体生理学 身体生理学
背景情况:
- 衰老会损害温度调节,在老年人中增加低温风险.
- 与年龄相关的变化 (例如,减少热感知,) 和并发症加剧了这种脆弱性.
- 麻醉剂在手术期间进一步损害了热平衡.
研究的目的:
- 突出老年患者对手术期间低温的敏感性.
- 讨论与低温症相关的不良结果在这个人群中.
- 强调需要积极主动的热管理策略.
主要方法:
- 审查与年龄相关的温度调节变化.
- 对麻醉剂对热调节的影响的分析.
- 检查手术内低温的风险和后果.
- 评估当前和推的温度管理协议.
主要成果:
- 老年患者倾向于经手术后体温下降.
- 术内低温与心脏事件,感染和恢复时间延长的增加有关.
- 尽管取得了进展,老年人内在的温度调节缺陷仍然存在.
结论:
- 对于老年患者来说,有效的术后热管理至关重要.
- 多模式变暖策略和精确的核心温度监测是必不可少的.
- 综合性方法对于减轻低温风险和改善手术结果至关重要.
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