充气式保温毯不同保温模式维持腹部手术患者核心体温有效性的Meta分析  

Effectiveness of Different Warming Modes of Forced-Air Warming Blankets in Maintaining Core Body Temperature of Patients After Abdominal Surgery:A Meta-Analysis

作　　者：徐鑫欣 李玲利[1] 朱玲[1] 梁智敏 杨雪[1] 郭雨辰 袁邻雁 XU Xinxin;LI Lingli;ZHU Ling;LIANG Zhimin;YANG Xue;GUO Yuchen;YUAN Linyan(West China School of Nursing,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;Department of Nursing,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China)

机构地区：[1]四川大学华西医院华西护理学院,四川成都610041 [2]四川大学华西医院麻醉手术中心,四川成都610041 [3]四川大学华西医院护理部,四川成都610041

出　　处：《中国医疗设备》2024年第5期20-25,54,共7页China Medical Devices

基　　金：国家自然科学基金面上项目(52373237);四川省自然科学基金面上项目(2023NSFSC0541)。

摘　　要：目的系统评价身上型和身下全身型充气式保温毯维持腹部手术患者围手术期核心体温的有效性,为腹部手术患者选择合适、有效的主动保温方法提供临床依据。方法通过计算机检索PubMed、Cochrane Library、Web of Science、Scopus、Embase、CINAHL、中国知网以及万方数据库,收集身上型和身下全身型充气式保温毯对维持腹部手术患者核心体温有效性的随机对照试验,并追溯其参考文献,检索时限均为建库至2023年3月。2位研究者独立进行文献筛选、数据提取和质量评价后,采用Rev Man 5.4软件对纳入文献进行Meta分析。结果最终纳入5项随机对照试验,总样本量为373例患者。Meta分析结果显示,身下全身型充气式保温毯能升高患者术中核心体温[95%CI为0.13(0.02~0.29),P<0.001],降低围术期非计划低体温的发生率[95%CI为0.15(0.03~0.79),P=0.020],并减少术后寒战的发生[95%CI为0.17(0.05~0.63),P=0.008]。结论身下全身型充气式保温毯对维持腹部手术患者围手术期核心体温有效,可降低围术期非计划低体温和寒战的发生风险。Objective To systematically evaluate the effectiveness of body-covering and underbody forced-air warming blankets in maintaining core body temperature during the perioperative period for patients undergoing abdominal surgery,so as to provide clinical evidence for selecting appropriate and effective active warming methods for abdominal surgery patients.Methods PubMed,Cochrane Library,Web of Science,Scopus,Embase,CINAHL,CNKI and Wanfang Database were comprehensively searched through computer retrieval.Randomized Controlled Trials on the effectiveness of body-covering and underbody inflatable warming blankets in maintaining core body temperature of patients undergoing abdominal surgery were collected,and their references were traced.The search period was from the establishment of the databases until March 2023.After independent literature screening,data extraction,and quality assessment by two researchers,the included studies were subjected to Meta-analysis using software Rev Man 5.4.Results A total of five RCTs with a sample size of 373 patients were included in the final analysis.The results of Meta-analysis showed that the underbody forced-air warming blankets increased the intraoperative core body temperature of patients[95%CI:0.13(0.02-0.29),P<0.001],reduced the incidence of inadvertent hypothermia during the perioperative period[95%CI:0.15(0.03-0.79),P=0.020],and reduced the occurrence of postoperative shivering[95%CI:0.17(0.05-0.63),P=0.008].Conclusion The existing evidence suggests that the underbody forced-air warming blankets is effective in maintaining core body temperature during abdominal surgery,and can reduce the risk of unplanned hypothermia and shivering during the perioperative period.

关 键 词：围手术期 低体温 META分析 腹部手术 充气加温 核心体温 

分 类 号：R197.39[医药卫生—卫生事业管理]