胃肠肿瘤患者围术期低体温的预防管理进展  

Advances in the prevention and management of perioperative hypothermia in patients with gastrointestinal cancer

作　　者：王雪 刘燊 杨飞 郁帆 张伟英[3] WANG Xue;LIU Shen;YANG Fei;YU Fan;ZHANG Weiying(Tongji University School of Medicine,Shanghai 200092,China;Department of Nursing,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Department of Nursing,East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学医学院,上海200092 [2]上海交通大学医学院附属仁济医院护理部,上海200127 [3]同济大学附属东方医院护理部,上海200120

出　　处：《肿瘤》2024年第7期793-799,共7页Tumor

基　　金：上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04);上海市浦东新区卫生系统领先人才培养计划(PWRl2020-10)

摘　　要：胃肠肿瘤发病率逐年上升,手术是主要的治疗手段。围术期低体温是胃肠肿瘤手术的常见并发症之一,严重影响患者的术后康复。围术期低体温可引起胃肠肿瘤患者失血量增加、麻醉苏醒延迟、术后伤口感染、胃瘫和肠麻痹等不良后果。因此,有效的预防策略显得尤为重要。目前,多种干预措施被用于预防围术期低体温,包括风险评估、体温测量、预保温、被动保温、增加环境温度、主动保温、复合保温及药物干预保温等措施。本综述旨在阐述胃肠肿瘤患者围术期低体温的预防管理进展,以期提高医护人员对低体温防护的重视程度,优化围术期护理流程,降低低体温发生率,提升患者的术后康复质量,减少医疗资源的消耗,改善整体治疗效果。本文为临床护理实践提供了理论依据和实践指导,有助于推动胃肠肿瘤患者围术期低体温预防管理的发展。The incidence of gastrointestinal tumors has been increasing year by year,and surgical treatment remains the primary therapeutic approach.Perioperative hypothermia is one of the common complications in gastrointestinal tumor surgery,severely impacting patients'postoperative recovery.Perioperative hypothermia in patients with gastrointestinal tumors can lead to increased blood loss,delayed emergence from anesthesia,postoperative wound infections,gastroparesis,and intestinal paralysis,among other adverse outcomes.Therefore,effective preventive strategies are particularly important.Currently,a variety of intervention measures are employed to prevent perioperative hypothermia,including risk assessment,temperature measurement,pre-warming,passive warming,increasing environmental temperature,active warming,combined warming,and pharmacological interventions for thermoregulation.This review aims to explore the advances in the prevention and management of perioperative hypothermia in patients with gastrointestinal tumors,with the intention of raising medical staff's awareness of hypothermia protection,optimizing perioperative nursing processes,reducing the incidence of hypothermia,improving patients'postoperative recovery quality,decreasing the consumption of medical resources,and enhancing overall treatment outcomes.This study provides a theoretical basis and practical guidance for clinical nursing practice and contributes to the advancement of prevention and management of perioperative hypothermia in patients with gastrointestinal tumors.

关 键 词：胃肠肿瘤 围术期低体温 预防管理 

分 类 号：R473.73[医药卫生—护理学]