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在为胃肠道手术进行全身麻醉的患者中,手术内低温和手术前的身体组成之间的关联

Shuta Sugiyama¹, Yuta Mitobe², Moe Sakata¹

¹Department of Nursing, International University of Health and Welfare (IUHW) Atami Hospital, Atami, JPN.

|August 19, 2025

概括

下皮下脂肪组织指数 (SATI) 与胃肠道手术患者的手术内低温有关. CT扫描可以帮助预测这种风险.

科学领域:

麻醉学麻醉学
放射学放射学是一门学科.
手术瘤学手术瘤学

背景情况:

总麻醉可以导致体温再分配,导致手术期间的低温.
术内低温症与增加的血液损失,伤口感染和更长的住院时间有关.
精确的身体成分测量,包括脂肪和肌肉质量,对于理解温度调节至关重要.

研究的目的:

为了调查通过计算机断层扫描 (CT) 成像测量的身体组成是否会影响手术期间的温度变化.
确定手术前CT衍生体质指标与胃肠道手术期间低温的发生率之间的关系.

主要方法:

在全身麻醉下接受选择性胃肠道手术的日本患者的回顾性观察性研究.
低温被定义为核心温度<36.0°C;患者被分为低温或对照组.
从CT扫描计算的皮下脂肪组织指数 (SATI) 和内脏脂肪组织指数 (VATI);进行了后勤回归和ROC分析.

主要成果:

与对照组 (中位数37.83) 相比,低温组 (中位数27.91) 的SATI显著较低 (p=0.033).
VATI和骨肌指数 (SMI) 在两组之间没有显著差异.
后勤回归发现SATI降低是手术期间低温的重要危险因素 (OR: 5.520,p>0.001).

结论:

皮下脂肪组织指数 (SATI) 的降低与经过胃肠道手术的患者的手术内低温有关.
术前基于CT的SATI测量可以成为预测手术内低温风险的有价值工具.

关键词:

在CT图像中,我们可以看到.胃肠道外科手术是什么在外科手术期间出现低温症.手术前的身体组成.皮下脂肪组织指数

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