股骨粗隆骨折术中低体温寒战风险与手术室干预策略  

Risk of hypothermia and shivering during surgery for femoral trochanteric fracture and intervention strategies in the operating room

作　　者：李莉[1] 侯慧 杜明宇[1] Li Li;Hou Hui;Du Mingyu(Anesthesia and Surgery Department of Huaibei People's Hospital,Huaibei 235000,Anhui,China)

机构地区：[1]淮北市人民医院麻醉手术部,安徽淮北235000

出　　处：《现代科学仪器》2024年第6期130-134,共5页Modern Scientific Instruments

摘　　要：目的:探讨股骨粗隆骨折术中低体温寒战风险与手术室干预策略。方法:回顾性分析118例股骨粗隆骨折患者术中可能发生低体温及围术期寒战的影响因素,并提出干预策略。结果:低体温组与高龄、低基线体温、高ASA分级、全身麻醉、低手术室温度、长时间手术、大量输液相关。Logistic回归显示高龄、高ASA分级、低手术室温度、长时间手术、大量静脉输液为低体温风险因子。寒战组与低BMI、全身麻醉、长时间手术、大量失血相关。Logistic回归显示,长时间手术和大量失血为寒战风险因子,而提高BMI为保护因子。结论:股骨粗隆骨折术中,患者低体温和寒战发生率高,受年龄、BMI、麻醉分级、手术室温度、手术时间、输液及失血量影响,应针对干预。Objective:To explore the risk of hypothermia and shivering during surgery for femoral trochanteric fractures and the intervention strategies in the operating room.Method:A retrospective analysis was conducted on 118 patients with femoral trochanter fractures to identify the factors that may contribute to intraoperative hypothermia and perioperative shivering,and intervention strategies were proposed.Results The hypothermia group was found to be associated with advanced age,low baseline body temperature,high ASA grade,general anesthesia,low operating room temperature,prolonged surgery,and heavy intravenous infusion.Logistic regression showed that advanced age,high ASA grade,low operating room temperature,prolonged surgery,and excessive intravenous infusion were risk factors for hypothermia.The shivering group is associated with low BMI,general anesthesia,prolonged surgery,and significant blood loss.Logistic regression shows that prolonged surgery and significant blood loss are risk factors for shivering,while increasing BMI is a protective factor.Conclusion:During surgery for femoral trochanteric fractures,patients have a high incidence of hypothermia and shivering,which are influenced by age,BMI,anesthesia grade,operating room temperature,surgical time,infusion,and blood loss.Therefore,targeted interventions should be implemented.

关 键 词：股骨粗隆骨折 低体温 寒战 风险因素 干预策略 

分 类 号：R472.3[医药卫生—护理学]