充气保暖毯在儿童中预防外科手术期间低温的有效性:元分析
Pei-Ying Ye1, Xiao-Yun Chen1, Xi-Chun Wu1
1Central Sterile Supply Department, Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
World journal of surgery
|August 26, 2025
概括
在儿童手术患者中,充气式加热毯有效保持手术期间的温度并缩短恢复时间. 虽然发现了低温和的趋势,但需要进一步研究以确定其统计意义.
科学领域:
- 麻醉学和外科外科
- 儿童手术
- 危急护理医学
背景情况:
- 术前低温是儿童手术中的常见并发症.
- 维持正常热量对于患者的结果至关重要.
- 目前的绝缘方法在有效性上有所不同.
研究的目的:
- 将充气式加热毯与非充气式方法进行元分析.
- 评估对手术期间核心体温和术后恢复的影响.
- 确定在儿童中预防外科手术期间低温的有效性.
主要方法:
- 在多个数据库中进行系统的文献搜索,直到2023年12月.
- 独立选,数据提取和质量评估由两名审查员进行.
- 使用RevMan 5. 4软件进行的元分析.
主要成果:
- 包括417名儿科患者的7项研究.
- 充气加热毯显著改善了手术期间的温度 (SMD=1.79,p<0.01).
- 充气式加热毯显著缩短了术后恢复时间 (SMD=-1.66,p<0.01).
结论:
- 在儿童手术中,充气式加热毯比非充气式方法更有效地维持正常热量.
- 这些毯子也大大缩短了术后恢复时间.
- 由于证据的确定性较低,观察到低温和的趋势需要进一步调查.
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