围术期体温监测及保温的现状分析

Analysis of Temperature Monitoring and Heat Preservation in Perioperative Period

体温是人体重要的生命体征,其过低或过高都会对患者的预后造成不利影响,在临床中最常见也最容易被忽视的是围术期低体温。围术期长时间的体温过低会引起麻醉苏醒延迟、心律失常、影响切口愈合等多种并发症,增加死亡率,延迟出院时间。体温监测及相应的保温措施对于防治低体温至关重要,围术期及时有效地体温监测能反映病人术中病情的变化,但目前临床中对于体温的监控却普遍重视不足。本文对近年来临床常用的体温监测方法及保温手段做一综述。

Temperature is human body's important vital signs, body temperature too low or too high will cause adverse effect on the prognosis of patients, the most common of which in clinical is perioperative hypothermia. Perioperative hypothermia for too long can cause a variety of complications including anesthesia awakening delay, arrhythmia, affect the wound healing, then increase the mortality, and delay the discharge time. Temperature monitoring and the corresponding insulation measures for the prevention and treatment of low temperature is essential. Timely and effective monitoring of the body temperature can reflect the changes of diseases perioperatively. This article will review the commonly used temperature monitoring methods and insulation means in recent years.