胆道外科患者核心体温围术期全流程智能监测系统的构建与应用

Construction and application of an intelligent core body temperaturemonitoring system covering the whole perioperative period in biliary surgery

目的探索胆道外科手术患者核心体温围术期全流程智能监测方法,为围术期体温监护创新提供实证方案。方法在胆道外科病房及麻醉手术中心建设基于穿戴式无线体温传感器的智能体温监测系统,对手术患者实施围术期全流程连续体温监测。结果2019年10月至2021年7月共监测胆道外科手术患者3383例,与仅监测术中体温相比,围术期监测到更多低体温事件(35.74%vs.44.37%)、更低的体温最低值(36.13℃vs.35.98℃)、更大的体温跌幅(0.29℃vs.0.47℃)、更长的低体温时间(81.00 min vs.165.00 min),均P<0.05。结论患者核心体温围术期全流程智能监测可实现围术期全程体温监测,真实、动态、连贯地反映患者围术期体温变化,有助于指导精准、个体化的围术期体温管理。

Objective To explore the intelligent monitoring process for core body temperature throughout the perioperative period,further to provide an empirical scheme for the innovation of perioperative body temperature monitoring.Methods An intelligent wireless body temperature monitoring system based on a wearable wireless body temperature sensor was constructed in the Department of Biliary Surgery and Operation&Anesthesia Center,to continuously monitor the core temperature during the whole perioperative period.Results A total of 3,383 biliary surgery patients were monitored from October 2019 to July 2021(35.74%vs.44.37%),lower temperature minimums(36.13℃vs.35.98℃),greater temperature drop(0.29℃vs.0.47℃),longer duration of hypothermia(81.00 min vs.165.00 min),P<0.05 for all.Conclusion By implementing the intelligent core temperature monitoring mode,we extend the intraoperative body temperature monitoring to the whole perioperative period,which reflects the changes of patients′perioperative body temperature in a real,dynamic and coherent way,and help to guide accurate and individualized perioperative body temperature management.