Nursing care for preventing hypothermia during shoulder arthroscopic surgery

Lei ZHANG; Hong CHEN

doi:10.12209/CAIM202308140002

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Nursing care for preventing hypothermia during shoulder arthroscopic surgery

更新时间：2023-08-21

- Nursing care for preventing hypothermia during shoulder arthroscopic surgery
- Clinical Archives of Integrative Medicine (2023)
- 作者机构：
  
  1.北京中医药大学东方医院手术室，北京 100078
  2.北京中医药大学东方医院外二乳腺科，北京 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202308140002
  CLC：
- Published Online：21 August 2023，
  
  Received：14 August 2023，
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Lei ZHANG, Hong CHEN. Nursing care for preventing hypothermia during shoulder arthroscopic surgery. [DB/OL].Clinical Archives of Integrative Medicine (2023)
DOI：

Lei ZHANG, Hong CHEN. Nursing care for preventing hypothermia during shoulder arthroscopic surgery. [DB/OL].Clinical Archives of Integrative Medicine (2023) DOI： 10.12209/CAIM202308140002.

摘要

本文总结1例右肱骨大结节骨折患者行肩关节镜手术过程中预防低温的护理。围手术期非计划性低体温是围手术期最常见的并发症，对循环系统、中枢系统、凝血功能等有一定程度的影响。本案例对患者围手术期液体加温、冲洗液加温，并根据围手术期患者的体温变化，采用冷不适量表（Cold Discomfort Scale，CDS）进行分析，发现术中对输液加温及冲洗液加温，可有效防止低体温的发生。加强手术室对于围手术期非计划性低体温的评估、预防流程的重视，降低围手术期非计划性低体温的发生率，提高手术室护理质量。

Abstract

This article summarized the nursing for preventing hypothermia during shoulder arthroscopic surgery for a patient with fracture of the greater tuberosity of the right humerus. Perioperative unplanned hypothermia is the most common complication in the perioperative period， which has a certain degree of impact on the circulatory system， central system， and coagulation function. In this case， the patient's perioperative fluid heating and rinsing fluid heating were analyzed. According to the patient's body temperature changes during the perioperative period， the Cold Discomfort Scale （CDS） was used to analyze and find that intraoperative heating of infusion and rinsing fluid can effectively prevent the occurrence of hypothermia. To strengthen the operating room's attention to the evaluation and prevention process of perioperative unplanned hypothermia， reduce the incidence of perioperative unplanned hypothermia， and improve the quality of operating room nursing.

关键词

低体温围手术期骨折护理

Keywords

hypothermiaperioperative periodfracturenursing

references

林雄坡，刘云肖，马京华，等. 基于专家共识围手术期预防术中低体温护理措施实施现状［J］. 中国医药科学， 2023， 13（3）： 158-161， 165.

LIN X P， LIU Y X， MA J H， et al. Status quo of implementing perioperative nursing measures to prevent intraoperative hypothermia based on expert consensus［J］. China Med Pharm， 2023， 13（3）： 158-161， 165.（in Chinese）

肖瑶，杨慧，胡娟娟，等. 围手术期低体温预防及管理的循证实践［J］. 中华护理杂志， 2019， 54（9）： 1302-1307.

XIAO Y， YANG H， HU J J， et al. Evidence-based practice of prevention and management of inadvertent perioperative hypothermia［J］. Chin J Nurs， 2019， 54（9）： 1302-1307.（in Chinese）

朱秋燕，吴婉英，王丽芬，等. 围手术期低体温的影响因素及预防措施研究进展［J］. 护士进修杂志， 2022， 37（2）： 141-145.

ZHU Q Y， WU W Y， WANG L F， et al. Research progress of influencing factors and preventive measures of inadvertent perioperative hypothermia［J］. J Nurses Train， 2022， 37（2）： 141-145.（in Chinese）

张雅萱，张磊，唐玲，等. 1例肩关节镜手术体位摆放的护理体会［J］. 中西医结合护理， 2023（2）： 206-209.

ZHANG Y X， ZHANG L， TANG L， et al. Patient positioning and nursing cooperation of arthroscopic surgery of the shoulder： a case report［J］. Chin J Integr Nurs， 2023（2）： 206-209.（in Chinese）

李玉梅，张宏晨，陈晓东，等. 围术期低体温风险预测模型的研究进展［J］. 护理研究， 2021， 35（17）： 3107-3110.

LI Y M， ZHANG H C， CHEN X D， et al. Research progress on risk prediction models for perioperative hypothermia［J］. Chin Nurs Res， 2021， 35（17）： 3107-3110.（in Chinese）

杨显松. 老年患者经尿道前列腺电切术中低体温的原因分析及预防护理［J］. 中西医结合心血管病电子杂志， 2019， 7（34）： 142， 147.

YANG X S. Cause analysis and preventive nursing of hypothermia in elderly patients undergoing transurethral resection of prostate［J］. Cardiovasc Dis Electron J Integr Tradit Chin West Med， 2019， 7（34）： 142， 147.（in Chinese）

NEMETH M， MILLER C， BRÄUER A. Perioperative hypothermia in children［J］. Int J Environ Res Public Heath， 2021， 18（14）： 7541.

常佳，黄静. 术中综合保温措施对非体外循环下冠状动脉搭桥术患者心功能的影响［J］. 中西医结合护理， 2021（12）： 6-10.

CHANG J， HUANG J. The effect of systemic intraoperative warming on cardiac function of patients after off-pump coronary bypass grafting［J］. Chin J Integr Nurs， 2021（12）： 6-10.（in Chinese）

赵丽风. 输液加温仪在预防老年患者术中低体温效果的研究［J］. 中国医疗器械信息， 2021， 27（3）： 132-133.

ZHAO L F. Study on the effect of infusion thermograph on preventing hypothermia in elderly patients during operation［J］. China Med Device Inf， 2021， 27（3）： 132-133.（in Chinese）

胡瑞丹，路威，杨彩慧，等. 原发性肝癌肝切除术术中低体温相关因素和护理干预研究进展［J］. 中西医结合护理， 2023（3）： 216-222.

HU R D， LU W， YANG C H， et al. Influencing factors and nursing interventions on intraoperative hypothermia in hepatectomy for primary liver cancer［J］. Chin J Integr Nurs， 2023（3）： 216-222.（in Chinese）

杨雪，沈剑辉. 综合控温干预下经尿道前列腺电切术的护理配合［J］. 中西医结合护理， 2023（5）： 185-187.

YANG X， SHEN J H. Nursing cooperation in transurethral resection of prostate under comprehensive body temperature control［J］. Chin J Integr Nurs， 2023（5）： 185-187.（in Chinese）

唐玲，郭红，祝静，等. 《北京市“十四五”中医护理发展规划》解读［J］. 中西医结合护理， 2022（7）： 157-162.

TANG L， GUO H， ZHU J， et al. Interpretation of the 14th five-year plan for the develop⁃ment of traditional Chinese medicine nursing in Beijing［J］. Chin J Integr Nurs， 2022（7）： 157-162.（in Chinese）

白丽，朱恒美，黎秀智，等. 肝癌术后复发再次手术切除患者内心感受的质性研究［J］. 中西医结合护理， 2021（3）： 60-62.

BAI L， ZHU H M， LI X Z， et al. A qualitative research on feelings of patients undergoing surgical re-resection for recurrent hepatocellular carcinoma［J］. Chin J Integr Nurs， 2021（3）： 60-62.（in Chinese）

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