在儿科患者手术内低温的风险预测得分的开发:一个回顾性队列研究
Worachet Saezhang1, Maliwan Oofuvong1, Nalinee Kovitwanawong1
1Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
PloS one
|October 28, 2025
概括
强制加热可以减少儿科手术中的手术内低温. 长期麻醉和儿童高发病率增加了这种风险,需要采取主动的温暖化策略.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 在外科手术期间的医学.
- 患者安全 患者安全
背景情况:
- 术内低温是儿科手术中常见的并发症.
- 识别风险因素和开发预测得分对于预防至关重要.
研究的目的:
- 在儿科手术中识别手术内低温的危险因素.
- 开发儿童手术内低温的风险预测得分.
主要方法:
- 2020年对940名12岁以下的儿童进行了回顾性队列研究,这些儿童在2020年接受了麻醉.
- 用后勤回归分析数据来确定轻度和非常轻度低温的风险因素.
- 风险预测得分开发用于轻度低温.
主要成果:
- 17.34%的人患有非常轻度低温,3.62%的人患有轻度低温.
- 非常轻度低温的危险因素包括ASA身体状况>3,麻醉时间>2小时和重大手术.
- 轻度低温的危险因素包括ASA身体状况>3,术前温度>37.2°C,麻醉时间>2小时,没有活跃升温.
结论:
- 长时间麻醉后强制加热可以降低高发病率儿童的手术内低温风险.
- 开发的风险评分显示了轻度低温的良好的灵敏度 (85.9%) 和特异性 (52.53%).
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