在接受麻醉的儿科患者中,与手术内低温相关的术后结果:多变量分析
Worachet Saezhang1, Maliwan Oofuvong1, Nalinee Kovitwanawong1
1Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Journal of clinical medicine
|October 29, 2025
概括
在接受麻醉的儿科患者中,手术内低温与更长时间住院和重症监护室 (ICU) 住院的风险增加有关. 严格的术后温度管理对于减轻这些不良结果至关重要.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 关键护理医学 关键护理医学
背景情况:
- 有限的研究存在于儿科患者的术后低温的术后不良事件,具有保留的功能能力.
- 术内低温是儿科麻醉期间的常见问题.
- 了解其对结果的影响对于改善患者护理至关重要.
研究的目的:
- 评估在接受麻醉的儿科患者手术内低温和不良术后结果之间的关联.
- 在这个人群中确定与低温相关的特定不良事件.
- 为临床实践提供有关温度管理的信息.
主要方法:
- 在2020年接受麻醉的儿科患者 (12岁以下) 的回顾性队列研究.
- 在手术期间出现的低温,定义为核心温度<36°C.
- 排除患有美国麻醉学会 (ASA) 身体状态为4-5的患者,以专注于保持功能能力.
- 多变量回归分析以调整混因素.
主要成果:
- 在892名儿科患者中,18.9%的儿科患者经历了手术内低温.
- 低温明显与术后呼吸器需求增加,ICU入院以及长时间的ICU停留和住院有关.
- 多变量分析显示,低温与长达1.0天的重症监护室停留和20%更高的住院风险有关.
结论:
- 术内低温症与儿童患者具有保留功能能力的显著不良术后结果有关.
- 目前的医院政策可能需要修改,以强调严格的术后温度管理.
- 有效的温度控制可以减轻不良事件并改善患者的结果.
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