主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (4): 563-569.doi: 10.3969/j.issn.1672-1756.2023.04.016

• 循证护理 • 上一篇    下一篇

强制空气加温与碳纤维电阻加温对成人围手术期低体温影响的Meta分析

周羽 卢秀英 雷铖 曾昕 蔡思雪   

  1. 成都医学院,610500 成都市(周羽,曾昕,蔡思雪);四川省肿瘤医院手术麻醉科(卢秀英);重庆医科大学(雷铖)
  • 出版日期:2023-04-15 发布日期:2023-04-15
  • 通讯作者: 卢秀英,硕士,主任护师,科护士长,E-mail:185472064@qq.com
  • 作者简介:周羽,硕士在读
  • 基金资助:
    成都市科学技术厅立项课题(2018-YF05-01075-SN);四川省干部保健科研项目(川干研2022-801)

Meta-analysis of the effect of Forced-air Warming versus Carbon-fibre Polymer-fabric Resistive Heating on Inadvertent Perioperative Hypothermia in adults

ZHOU Yu, LU Xiuying, LEI Cheng, ZENG Xin, CAI Sixue   

  1. Chengdu Medical University, Chengdu, 610500, China
  • Online:2023-04-15 Published:2023-04-15
  • Contact: E-mail:185472064@qq.com

摘要: 目的:分析强制空气加温和碳纤维电阻加温预防成人围手术期低体温的效果。方法:检索中英文数据库中有关强制空气加温与碳纤维电阻加温对预防成人围手术期低体温的随机对照试验,检索时限为建库至2021年3月。2名研究者独立对文献进行筛选、资料提取及质量评价。结果:最终纳入16篇文献。Meta分析结果显示,与碳纤维电阻加温相比,强制空气加温可升高麻醉诱导后90?min?[SMD=0.42,95%CI(0.07,0.77)]及手术结束时[SMD=0.41,95%CI(0.28,0.54)]的核心体温。结论:目前证据显示,与碳纤维电阻加温相比,强制空气加温能够更好地维持围手术期患者核心体温,可为患者围手术期体温管理提供参考依据。

关键词: 强制空气加温;碳纤维电阻加温;围手术期护理;体温管理;低体温;系统评价

Abstract: Objective: To investigate the effect of Forced-air Warming and Carbon-fibre Polymer-fabric Resistive Heating on the prevention of Inadvertent Perioperative Hypothermia (IPH). Methods: We searched Chinese and English databases from inception to March 2021 to collect Randomized Controlled Trials on Forced-air Warming versus Carbon-fibre Polymer-fabric Resistive Heating for prevention of IPH in adults. Two reviewers independently screened the literatures, extracted the data, and assessed the risk of bias of included studies. Results: A total of 16 studies were included. Meta-analysis results showed that compared with Carbon-fibre Polymer-fabric Resistive Heating, Forced-air Warming raised core body temperature 90 minutes after induction of anesthesia [SMD=0.42, 95%CI (0.07, 0.77)] and at the end of the procedure [SMD=0.41, 95%CI (0.28, 0.54)]. Conclusion: Current evidence shows that compared with Carbon-fibre Polymer-fabric Resistive Heating, Forced-air Warming can better maintain the core body temperature of perioperative patients. It can provide reference for perioperative temperature management.

Key words: Forced-air Warming; Carbon-fibre Polymer-fabric Resistive Heating; perioperative care; temperature management; hypothermia; systematic review

中图分类号:  R47;R197