泌尿外科手术中的意外低温:发生率和危险因素
Gamze Bozkul1, Elife Kettaş Dölek2, Gülay Altun Uğraş3
1Department of Nursing, Faculty of Health Sciences, Tarsus University, Türkiye.
概括
无意的外科手术期间低温 (IPH) 影响了近一半的泌尿外科手术患者,特别是那些接受大量静脉注射液体的人. 目前的协议是不够的,需要联合加热技术和加热的输液液体.
科学领域:
- 麻醉学 麻醉学
- 手术护理 医疗护理
- 患者安全 患者安全
背景情况:
- 意外的外科手术期间低温 (IPH) 是手术期间常见的并发症.
- 维持正常热量对于患者的治疗结果至关重要.
- 泌尿外科手术患者可能面临IPH的特殊风险.
研究的目的:
- 为了确定在接受泌尿外科手术的患者中IPH的发生率.
- 在这个患者群体中识别与IPH相关的风险因素.
主要方法:
- 对114名接受泌尿外科手术的患者进行了横截面研究.
- 在手术前,手术期间和手术后监测患者的体温.
- 收集了有关患者特征和术后事件的数据.
主要成果:
- IPH的发病率为8.8% (手术早期),18.5% (手术后期) 和40.5% (术后).
- 给予≥500毫升静脉注射液体是IPH (P = .002) 的一个显著的危险因素.
- 其他几种潜在的风险因素,包括患者人口统计和手术因素,与IPH没有显著的关联.
结论:
- 大约一半的泌尿外科手术患者经历了IPH.
- 大量的静脉注射液体是IPH的重要危险因素.
- 目前的IPH预防方案是不够的;护士应该使用组合加热方法,并给予体温或以上的IV液体,特别是当需要大量时.
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