围术期低体温研究进展  

Research Progress of Perioperative Hypothermia

作　　者：李芝燕 

机构地区：[1]延安大学,陕西 延安

出　　处：《临床医学进展》2023年第2期1294-1301,共8页Advances in Clinical Medicine

摘　　要：体温是人类的五大生命体征之一,由于激素作用、细胞新陈代谢和身体活动产生的热量,正常体温维持在36℃至37.5℃的低安全范围内,术中低体温(IH) (核心温度 < 36℃)是接受手术的患者常见的并发症。一些以患者为中心的外部因素,如药物、合并症、创伤、环境温度、麻醉类型以及手术的程度和持续时间,都会影响核心温度。围手术期低体温对凝血、失血和输血需求、药物代谢、手术部位感染和麻醉后监护病房的出院有负面影响。因此,围术期积极的温度管理,防治IPH已成为加速康复外科(enhanced recovery after surgery, ERAS)的重要环节。Body temperature is one of the five vital signs of human beings. Due to hormone action, cell metab-olism and heat generated by physical activity, normal body temperature is kept in a low safe range of 36˚C to 37.5˚C. Intraoperative hypothermia (IH) (core temperature < 36˚C) is a common compli-cation of patients undergoing surgery. Some patient-centered external factors, such as drugs, com-plications, trauma, ambient temperature, anesthesia type, and the degree and duration of surgery, will all affect the core temperature. Perioperative hypothermia has negative effects on blood coagu-lation, blood loss and blood transfusion requirements, drug metabolism, surgical site infection and discharge from the intensive care unit after anesthesia. Therefore, active perioperative tempera-ture management and prevention of IPH have become an important link of enhanced recovery after surgery (ERAS).

关 键 词：围术期 低体温 体温调节 体温监测 保温治疗 

分 类 号：R47[医药卫生—护理学]