护理学报2018，Vol.25Issue(2)：41-47,7.DOI:10.16460/j.issn1008-9969.2018.02.041
加温输液对预防产妇剖宫产术后低体温和寒颤有效性的Meta分析
Efficacy of Pre-warmed Intravenous Fluids for Low Temperature and Shivering after Cesarean Section:A Meta-analysis
摘要
Abstract
Objective To systematically review the efficacy of pre-warmed intravenous fluids for low temperature and shivering after cesarean section. Methods We searched PubMed, CINAHL, EMbase, The Cochrane Library, CBM, VIP, WanFang Data and CNKI from the inception to July 2017, to collect randomized controlled trials (RCTs) on efficacy of pre-warmed intravenous fluids for low temperature and shivering after cesarean section. Two reviewers independently screened studies, extracted data and evaluated the risk of biases of included literature. Then meta-analysis was performed using RevMan 5.3. Results Twenty RCTs involving 1,689 patients were included.The results of meta-analysis showed that the core body temperature in pre-warmed fluids group was obviously higher[MD=0.75, 95% CI(0.70,0.80), P<0.00001] when compared with that in normal fluids group. The incidence of postoperative shivering in pre-warmed fluids group was obviously lower than that in normal fluids group [RR=0.40,95%CI(0.33,0.48),P<0.00001]. Conclusion Perioperative pre-warmed intravenous fluids can decrease the risk of postoperative shivering, and maintain a relatively higher body temperature, and reduce the incidence of hypothermia. Due to the limitations of quality and quantity of included studies, more high quality studies are needed to verify the conclusions.关键词
加温输液/围术期低体温/寒颤/剖宫产手术/Meta分析Key words
pre-warmed intravenous fluids/perioperative hypothermia/shivering/cesarean section/Meta-analysis分类
医药卫生引用本文复制引用
刘瑞红,朱松,万晶晶,刘映红..加温输液对预防产妇剖宫产术后低体温和寒颤有效性的Meta分析[J].护理学报,2018,25(2):41-47,7.基金项目
湖南省卫生厅课题基金(B2012-039) （B2012-039）
