护理研究2025，Vol.39Issue(21)：3699-3703,5.DOI:10.12102/j.issn.1009-6493.2025.21.023
术前预保温改善胸腔镜手术病人术后低体温的效果
Effect of preoperative pre-warming on improving postoperative hypothermia in patients undergoing thoracoscopic surgery
摘要
Abstract
Objective:To explore the effect of preoperative pre-warming measures on the incidence of postoperative hypothermia in patients undergoing thoracoscopic surgery.Methods:A total of 172 patients scheduled for thoracoscopic surgery were selected and randomly divided into intervention group and control group.The control group received passive warming(blanket warming)in the preparation room,while the intervention group received additional preoperative pre-warming on the basis of passive warming.All patients were monitored for core body temperature throughout the process using wireless temperature monitoring equipment.The primary outcome measure was the incidence of hypothermia in patients during the postoperative anesthetic recovery period;the secondary outcome measures included the intraoperative body temperature change trend,intraoperative incidence of hypothermia,incidence of shivering,and extubation time.Results:During the research process,9 cases were lost to follow-up,resulting in a final inclusion of 163 patients,78 cases in the control group and 85 cases in the intervention group.The incidence of hypothermia in the intervention group during the postoperative anesthetic recovery period was lower than that in the control group(23.53%vs.39.74%,P=0.029).The incidence of hypothermia within 1 hour after the start of anesthesia in the intervention group was also lower than that in the control group(8.23%vs.23.08%,P=0.010).Mild hypothermia was the main type of hypothermia in both groups(95.00%in the intervention group vs.83.87%in the control group).There were no statistically significant differences in terms of extubation time,incidence of shivering,and length of stay between the two groups(P>0.05).Generalized estimating equations(GEE)showed that the body temperature of patients in both groups gradually decreased with the extension of anesthesia time,and the difference in the mean body temperature between the two groups initially increased and then decreased as anesthesia time prolonged.Conclusions:Preoperative pre-warming measures are more effective than passive warming measures.It could help to reduce the incidence of hypothermia in patients undergoing thoracoscopic surgery during the postoperative anesthetic recovery period and within 1 hour after anesthesia induction.关键词
预保温/低体温/胸腔镜手术/热舒适度/围术期护理Key words
pre-warming/hypothermia/thoracoscopic surgery/thermal comfort/perioperative nursing引用本文复制引用
王秀丽,何苗,张伟新,丁春月,张妍,张海燕..术前预保温改善胸腔镜手术病人术后低体温的效果[J].护理研究,2025,39(21):3699-3703,5.基金项目
北京大学人民医院研究与发展基金项目,编号:RDN2021-03 （）
