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当前位置：国际护理学研究 > 2024年 6卷 (3)期

Open Access Article

International Journal of Nursing Research. 2024; 6: (3) ; 16-21 ; DOI: 10.12208/j.ijnr.20240057.

Incidence and risk factors for intraoperative accidental hypothermia in patients undergoing orthopedicendoscopic surgery
骨科内腔镜手术患者术中意外低温发生率和危险因素

作者： 李佳^1,2, 高红³ *

1 南华大学护理学院湖南衡阳
2 南华大学附属第一医院手术室湖南衡阳

3 南华大学附属第二医院护理部湖南衡阳

*通讯作者：高红,单位：南华大学附属第二医院护理部湖南衡阳；

发布时间: 2024-03-22 总浏览量: 136

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摘要

目的了解骨科内腔镜手术中体温偏低的现状，并对其危险因素进行分析。方法选择便利抽样的方法，收集2023年9月至2024年2月在某院实施骨科内腔镜手术的289例患者的研究数据。统计骨科内腔镜手术术中出现低体温的现况，基于Logistic 回归分析方法探究其重要因素。结果 289例骨科内腔镜手术患者中发生术中低温168例，占比58.13%。结果 BMI≥24kg·m-2（0R=0.052，95%CI :0.003～0.902）、基础体温（OR=0.002，95%CI :0.001～0.033）、术中灌洗量（OR=1.357，95%CI：1.246～2.952）、麻醉时间≥2.5h（OR=14.538，95%CI：1.529～38.230）是影响骨科内腔镜手术患者术中低温发生率的显著因素（P<0.05）。结论术中意外低温在接受手术的患者中很常见于骨科内腔镜手术，其中的BMI、基础体温、手术中的灌洗量、麻醉时间等都是这类手术患者独立存在的危险因素。应重点关注BMI不高、基础体温偏低、预计麻醉时间较长、术中灌洗量较多的骨科内腔镜手术人群，有针对性地实施预防措施，以降低手术中低体温的发生概率。

关键词： 骨科内腔镜手术；术中低体温；影响因素

Abstract

Objective To understand the current status of hypothermia in orthopedic endoscopic surgery and to analyze its risk factors.
Methods Convenience sampling method was chosen to collect study data from 289 patients who underwent orthopedic endoscopic surgery from September 2023 to February 2024 in a hospital. The current status of intraoperative hypothermia in orthopedic endoscopic surgery was counted and the significant factors were explored based on logistic regression analysis method.
Results Intraoperative hypothermia occurred in 168 of 289 orthopedic endoscopic surgery patients (58.13%). The statistical results showed that: BMI≥24kg·m-2(0R=0.052, 95%CI:0.003~0.902), basal body temperature (OR=0.002, 95%CI:0.001~0.033), intraoperative lavage volume (OR=1.357, 95%CI: 1.246~2.952), and anesthesia time ≥2.5h (OR= 14.538, 95% CI: 1.529~38.230) were significant factors influencing the incidence of intraoperative hypothermia in patients undergoing orthopedic endoscopic surgery (P<0.05).
Conclusion Unexpected intraoperative hypothermia is very common in patients undergoing surgery for orthopedic endoscopic procedures, where BMI, basal body temperature, amount of intraoperative lavage, and duration of anesthesia are all independently present risk factors for these types of surgical patients. Focus should be placed on the orthopedic endoscopic surgery population with low BMI, low basal body temperature, longer expected anesthesia time, and higher volume of intraoperative lavage, and preventive measures should be implemented in a targeted manner to reduce the probability of intraoperative hypothermia.

Key words： Orthopaedic endoscopic surgery; Intraoperative hypothermia; Influencing factor

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引用本文

李佳, 高红, 骨科内腔镜手术患者术中意外低温发生率和危险因素[J]. 国际护理学研究, 2024; 6: (3) : 16-21.

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