摘要
目的系统评价术中采取保温护理对麻醉恢复期的影响。方法运用Stata10.0软件对2003~2013年国内外发表的术中保温护理对麻醉恢复期影响的研究进行Meta分析。结果共有17篇文献纳入,其中实验组690例,对照组680例。Meta分析结果显示:术中采取保温措施可以降低患者麻醉恢复期寒战[OR=0.12,95%CI(0.09~0.16)]和躁动[OR=0.19,95%CI(0.13~0.27)]的发生率,缩短拔管时间[SMD=-0.71,95%CI(-1.00^-0.42)]和苏醒时间[SMD=-2.87,95%CI(-3.11^-2.63)]。结论术中采取保温护理可以缩短患者拔管时间和苏醒时间,减少寒战和躁动的发生,使患者平稳渡过麻醉恢复期。
Objective To evaluate the effect of intraoperative thermal insulation on postoperative recovery after anesthesia systematically.Methods A meta-analysis was conducted with Stata10.0 for the research papers about the effect of intraoperative thermal insulation on the postoperative recovery after anesthesia published in 2003-2013.Results Totally,17 articles were finally included,with 690 cases in the experimental group and 680 in the control group.Meta-analysis showed that intraoperative thermal insulation could reduce the incidence of shivering[OR=0.12,95 ％ CI （0.09-0.16）] and agitation in postoperative recovery after anesthesia [OR=0.19,95 ％ CI（0.13-0.27）],as well as shorten the extubation[SMD=-0.71,95 ％ CI （-1.00--0.42）]and recovery time[SMD=-2.87,95 ％ CI（-3.11--2.63）].Conclusion Intraoperative thermal insulation can reduce the incidence of shivering and agitation,and shorten the extubation and recovery time,helping patients getting through the postoperative recovery after anesthesia smoothly.
关键词
术中保温
体温过低
护理
麻醉恢复期
META分析
intraoperative thermal insulation
hypothermia
nursing
postoperative recovery after anesthesia
Meta-analysis
