摘要
目的:探讨术前预热式主动加温措施对控制病人核心体温及术中出血量的效果。方法:检索British Nursing Index、CINAHL、EMbase、PubMed、The Cochrane Library、中国知网、万方数据库以及维普数据库2011年1月1日-2020年5月31日发表的关于术前预热式主动加温措施对病人核心体温及术中出血量控制效果的随机对照试验研究进行系统评价。采用JBI 2020版研究文献风险评估方法进行文献筛选、质量评价和资料提取。运用RevMan5.4软件对所提取的研究数据进行Meta汇总分析。结果:共纳入10篇文献,总样本量为864例病人。Meta分析结果显示,术前预热式主动加温措施能升高病人术中核心体温[MD=0.36,95%CI(0.18,0.55),P=0.0001],降低围术期低体温的发生风险[RR=0.59,95%CI(0.47,0.74),P<0.00001]。术中出血量两组比较差异无统计学意义[MD=1.64,95%CI(-11.95,15.22),P=0.81]。结论:现有证据表明,术前预热式主动加温措施对病人核心体温的控制有效,且可降低围术期低体温发生风险。
Objective:To explore the effects of taking preoperative prewarming as active warming measures on the control of core temperature and intraoperative blood loss in patients.Methods:Randomized controlled trials(RCTs)on the effects of taking preopera⁃tive prewarming as active warming measures on the control of core temperature and intraoperative blood loss in patients,which were published between 1 January 2011 and 31 May 2020,were retrieved from the British Nursing Index,CINAHL,EMbase,PubMed,the Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Database,and VIP Database.A systematic review was conducted.The 2020 version of the research literature risk assessment method from JBI was used for literature screening,quality evaluation,and data extraction.RevMan5.4 software was used to conduct a Meta⁃analysis of the extracted research data.Results:A total of 10 RCTs was included,involving 864 patients.The results of the Meta⁃analysis showed that taking preoperative prewarming as active warming measures could increase patients′core temperature during operation[MD=0.36,95%CI(0.18,0.55),P=0.0001]and reduce the occurrence of perioperative hypothermia risk[RR=0.59,95%CI(0.47,0.74),P<0.00001].The differences were statistically significant.There was no statistical significance in intraoperative blood loss between the two groups[MD=1.64,95%CI(-11.95,15.22),P=0.81].Conclusions:Existing evidence suggested that taking preoperative prewarming as active warming measures was effective in controlling the patient′s core temperature and reducing the risk of perioperative hypothermia.
作者
阮丽诗
袁浩斌
Un Lai Si;YUAN Haobin(Macao Polytechnic Institute,Macao 999078 China)
出处
《护理研究》
北大核心
2021年第8期1330-1337,共8页
Chinese Nursing Research
关键词
术前
预热
主动加温措施
核心体温
出血量
低体温
META分析
循证护理
preoperative
prewarming
active warming measures
core temperature
blood loss
hypothermia
Meta⁃analysis
evidence⁃based nursing
