在全身麻醉下进行妇科 laparoscopic 手术时的温度链管理方案的影响
Lanxia Pan1, Yuelei Dong2, Fengxia Chen2
1Nursing School, Henan University of Chinese Medicine, Zhengzhou, China.
Therapeutic hypothermia and temperature management
|August 25, 2025
概括
在妇科腹腔镜手术中,温度链管理有效地预防了无意中出现的术前低温症 (IPH). 这种方法提高了患者的核心温度和热舒适度,同时减少了IPH和.
科学领域:
- 麻醉学
- 手术患者的护理
- 温度调节
背景情况:
- 在手术过程中,意外的外周低温 (IPH) 是一个常见的并发症.
- 维持正常热量对于患者的治疗结果至关重要.
- 由于麻醉剂和流体流失等因素, 妇科腹腔镜手术存在IPH的风险.
研究的目的:
- 评估温度链管理方案在预防IPH方面的有效性.
- 为了比较温度链管理对患者体温和舒适度的影响与单独的手术前加热液.
主要方法:
- 一项随机对照试验,涉及48名接受妇科腹腔镜手术的成年女性患者.
- 患者被分配到单独的手术前加热液 (C组) 或温度链管理 (T组).
- 评估了手术周围的核心和周围温度,IPH率,和热舒适度.
主要成果:
- 与C组相比,T组的手术前核心温度显著提高 (p < 0. 05).
- 在T组,麻醉后护理单位 (PACU) 的IPH率和发病率明显较低 (p < 0. 05).
- 在T组的患者在进入PACU时报告了更高的热舒适度 (p < 0. 05).
结论:
- 仅使用手术前加热液就不足以充分加热患者.
- 在妇科腹腔镜手术期间,温度链管理是维持正常热量的最佳策略.
- 通过实施温度链管理,通过减少IPH和来提高患者的安全性和舒适性.
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