围手术期核心体温及其保护的相关研究进展  

Research progress on core body temperature perioperative and its protection

作　　者：赵清侠[1] 张妍[1] 马蓓[1] 文强[1] 苟小慧 薛红[1] ZHAO Qing-xia;ZHANG Yan;MA Bei;WEN Qiang;GOU Xiao-hui;XUE Hong(Shaanxi Provincial People's Hospital, Xi'an 710068;the First People's Hospital of Xianyang, Xianyang 712000, China)

机构地区：[1]陕西省人民医院,陕西西安710068 [2]咸阳市第一人民医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2019年第29期194-196,共3页Clinical Research and Practice

基　　金：2018年陕西省人民医院护理专项项目（No.2018HL-11);2018年陕西省人民医院新技术新业务项目（No.2018JS-31）

摘　　要：围手术期意外低体温(IPH)在我国医疗机构中的发生率较高,核心体温是身体内部的温度,通常维持在36~38 °C,当核心体温<36 ℃,有时甚至<34 ℃,即发生了低体温症,会对患者造成一系列损伤。美国护理、麻醉医师协会,加拿大的外科指南,英国、德国相关指南的指导意见均对于体温的关注和保温措施的实施较早。从2015年开始,我国麻醉医师共识及护理学会的指南建议把体温的管理作为手术安全质量管理的一部分,提高保温意识,完善保温理念和措施越来越得到麻醉、外科医师及各级护理团队的重视。The incidence of inadvertent perioperative hypothermia (IPH) is higher in medical institutions in China. Core temperature is the internal temperature of the body, which is usually maintained in the range of 36-38 ℃. When the core body temperature is less than 36 ℃, sometimes even less than 34 ℃, hypothermia occurs, which can cause a series of injuries to patients. The American association of nursing and anesthesiologists, the Canadian surgical guidelines, the British and German guidelines all pay attention to body temperature and implement warm-keeping measures earlier. Beginning from 2015, the consensus of anesthesiologists in China and the guidelines of the society of nursing suggest that temperature management be a part of safety and quality management of surgery. More and more anesthesiologists, surgeons and nursing teams at all levels pay attention to improving the awareness of heat preservation and perfecting the concept and measures of heat preservation.

关 键 词：围手术期 核心体温 意外低体温 

分 类 号：R614[医药卫生—麻醉学]