%0 Journal Article %T 围术期低体温研究进展
Research Progress of Perioperative Hypothermia %A 李芝燕 %J Advances in Clinical Medicine %P 1294-1301 %@ 2161-8720 %D 2023 %I Hans Publishing %R 10.12677/ACM.2023.132178 %X 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). %K 围术期,低体温,体温调节,体温监测,保温治疗
Perioperative Period %K Low Body Temperature %K Temperature Regulation %K Temperature Monitoring %K Heat Preservation Therapy %U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=61077