医学新知2025，Vol.35Issue(12)：1444-1453,中插9-中插11,13.DOI:10.12173/j.issn.1004-5511.202503002
儿童患者术中低体温发生率及影响因素的Meta分析
Prevalence and influencing factors of intraoperative hypothermia in pediatric patients:a Meta-analysis
摘要
Abstract
Objective To systematically review the current status and influencing factors of intraoperative hypothermia(IOH)in pediatric patients.Methods CNKI,WanFang,VIP,CBM,PubMed,Web of Science,Embase,The Cochrane Library,CINAHL and other databases were searched from database inception to March 7,2025.After literature screening,quality assessment and data extraction,RevMan 5.4 was used for Meta-analysis.Results A total of 22 articles involving 7,846 patients were included.The results of Meta-analysis showed that the incidence of IOH in pediatric patients was 45%[95%CI(34%,55%)].Age≤1 year[OR=2.85,95%CI(1.66,4.87)],weight[SMD=-0.34,95%CI(-0.59,-0.09)],preoperative temperature[MD=-0.26,95%CI(-0.36,-0.15)],anesthesia duration[SMD=0.55,95%CI(0.24,0.85)],ASA grade≥Ⅲ[OR=2.16,95%CI(1.33,3.51)],surgery duration[SMD=0.41,95%CI(0.11,0.71)],surgery duration≥2 h[OR=2.07,95%CI(1.52,2.80)],intraoperative infusion volume[SMD=0.52,95%CI(0.31,0.73)],intraoperative blood loss[SMD=0.45,95%CI(0.17,0.73)],intraoperative blood transfusion[OR=3.18,95%CI(2.29,4.43)],intraoperative blood transfusion volume[SMD=0.66,95%CI(0.29,1.03)],and emergency surgery[OR=1.47,95%CI(1.05,2.04)]were significant influencing factors of IOH in pediatric patients.Conclusion The incidence of IOH in children is relatively high with many influencing factors.The screening ability of the surgical team should be improved to identify high-risk groups early,and collaborate with multiple disciplines to formulate individualized nursing interventions to prevent the occurrence of IOH and ensure the safety of children during surgery.关键词
儿童/术中低体温/发生率/影响因素/Meta分析Key words
Pediatric/Intraoperative hypothermia/Incidence/Influencing factors/Meta-analysis分类
医药卫生引用本文复制引用
LAN Huanglu,ZHANG Siyao,WANG Conghui,WANG Jiyou,HAN Rui,JIN Chunyu..儿童患者术中低体温发生率及影响因素的Meta分析[J].医学新知,2025,35(12):1444-1453,中插9-中插11,13.基金项目
哈尔滨医科大学研究生科研和实践创新项目(YJSCX2024-124HYD) （YJSCX2024-124HYD）
