宣威市中医医院 麻醉科, 云南 曲靖, 655400
胡艳明, E-mail: 2953778269@qq.com
收稿:2025-10-16,
修回:2025-11-29,
录用:2025-12-01,
网络出版:2026-01-30,
移动端阅览
徐丽琼, 胡艳明. 1例肩关节镜手术中预防低体温的护理体会[DB/OL].中西医结合临床案例库, 2026.
XU Liqiong, HU Yanming. Nursing Experience in Preventing Intraoperative Hypothermia During Shoulder Arthroscopy[DB/OL].Clinical Archives of Integrative Medicine, 2026.
徐丽琼, 胡艳明. 1例肩关节镜手术中预防低体温的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202510160001.
XU Liqiong, HU Yanming. Nursing Experience in Preventing Intraoperative Hypothermia During Shoulder Arthroscopy[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202510160001.
本文总结1例关节镜下行左肩关节肩袖损伤修补术联合左肩胛盂唇修补术的护理实践,通过术前手术室环境预热、术中使用充气式加温毯、输液及冲洗液加温、动态监测鼻咽部温度等综合保温措施,有效降低患者术中低体温发生率,提高患者术中舒适度。肩关节镜手术中,患者因术野暴露、室温冲洗液冲洗、麻醉抑制及手术室环境等因素,术中低体温风险显著增加。本文通过临床实践,总结术中低体温预防的护理策略,有效控制患者术中体温,预防低体温相关并发症,促进患者术后快速康复。
This article summarizes the nursing practice for a patient undergoing arthroscopic rotator cuff repair combined with glenoid labrum repair of the left shoulder. Comprehensive warming measures—including preoperative operating room environment prewarming, intraoperative use of forced-air warming blankets, warmed irrigation and infusion fluids, and dynamic nasopharyngeal temperature monitoring—effectively reduced the incidence of intraoperative hypothermia and improved patient comfort. During shoulder arthroscopy, factors such as surgical field exposure, room-temperature irrigation, anesthesia-induced thermoregulatory inhibition, and operating room conditions significantly increase the risk of hypothermia. Through clinical practice, this study outlines nursing strategies for hypothermia prevention, demonstrating successful maintenance of intraoperative body temperature, prevention of hypothermia-related complications, and promotion of postoperative recovery.
叶向阳 , 王华磊 , 马远 , 等 . 肩袖撕裂关节镜手术前肩关节僵硬的发生危险因素及预测模型构建研究 [J]. 中医研究 , 2024 , 37 ( 1 ): 37 - 40 .
YE X Y , WANG H L , MA Y , et al . Study on risk factors and prediction model construction of shoulder stiffness before arthroscopic surgery for rotator cuff tear [J]. Tradit Chin Med Res , 2024 , 37 ( 1 ): 37 - 40 . (in Chinese)
王登峰 , 康汇 , 李锦 . 全肩关节镜手术和关节镜下小切口治疗肩袖损伤的疗效及对关节功能恢复的影响研究 [J]. 贵州医药 , 2022 , 46 ( 12 ): 1899 - 1900 .
WANG D F , KANG H , LI J . Study on the curative effect of total arthroscopic surgery and arthroscopic small incision in the treatment of rotator cuff injury and its influence on joint function recovery [J]. Guizhou Med J , 2022 , 46 ( 12 ): 1899 - 1900 . (in Chinese)
徐艳 , 吴静 , 王雪静 , 等 . 沙滩椅体位干预联合复合保温护理对肩关节镜手术患者的影响 [J]. 齐鲁护理杂志 , 2021 , 27 ( 16 ): 153 - 155 .
XU Y , WU J , WANG X J , et al . Effect of beach chair postural intervention combined with composite thermal insulation nursing on shoulder arthroscopic surgery patients [J]. J Qilu Nurs , 2021 , 27 ( 16 ): 153 - 155 . (in Chinese)
张莺 , 陈红 , 江海艳 , 等 . 不同温度灌注液在肩关节镜手术中的应用及效果分析 [J]. 骨科 , 2021 , 12 ( 5 ): 467 - 470 .
ZHANG Y , CHEN H , JIANG H Y , et al . Application and effectiveness of perfusion fluid with different temperature in shoulder arthroscopy [J]. Orthopaedics , 2021 , 12 ( 5 ): 467 - 470 . (in Chinese)
吴晓舟 , 魏彦姝 , 闵玉娣 , 等 . 肩关节镜手术患者术中低体温预测模型的构建及验证 [J]. 中华肩肘外科电子杂志 , 2020 , 8 ( 4 ): 335 - 339 .
WU X Z , WEI Y S , MIN Y D , et al . Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients undergoing shoulder arthroscopy [J]. Chin J Shoulder Elb Electron Ed , 2020 , 8 ( 4 ): 335 - 339 . (in Chinese)
柯稳 , 高兴莲 , 余文静 , 等 . 腹部手术患者术中低体温发生率及风险因素的Meta分析 [J]. 现代临床护理 , 2022 , 21 ( 12 ): 52 - 61 .
KE W , GAO X L , YU W J , et al . Meta-analysis of the incidence and risk factors of postoperative hypothermia in adult abdominal surgery patients [J]. Mod Clin Nurs , 2022 , 21 ( 12 ): 52 - 61 . (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)
万丽 , 赵晴 , 陈军 , 等 . 疼痛评估量表应用的中国专家共识(2020版) [J]. 中华疼痛学杂志 , 2020 , 16 ( 3 ): 177 - 187 .
WAN L , ZHAO Q , CHEN J , et al . Expert consensus on the application of pain evaluation questionnaires in China(2020) [J]. Chin J Painology , 2020 , 16 ( 3 ): 177 - 187 . (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)
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)
刘莎莎 , 戴冬梅 , 刘冬华 , 等 . 非药物干预在全膝关节置换术后疼痛管理中的研究进展 [J]. 当代护士(中旬刊) , 2022 , 29 ( 1 ): 9 - 12 .
LIU S S , DAI D M , LIU D H , et al . Research progress of non-drug intervention in pain management after total knee replacement [J]. Today Nurse , 2022 , 29 ( 1 ): 9 - 12 . (in Chinese)
杨霞 , 李国宏 , 崔颖 , 等 . 老年患者术中低体温风险预测模型的系统评价 [J]. 中国医药导报 , 2024 , 21 ( 36 ): 168 - 172 .
YANG X , LI G H , CUI Y , et al . A systematic review risk prediction models for intraoperative hypothermia in elderly patients [J]. China Med Her , 2024 , 21 ( 36 ): 168 - 172 . (in Chinese)
国家麻醉专业质量控制中心 . 围术期患者低体温防治专家共识(2023版) [J]. 协和医学杂志 , 2023 , 14 ( 4 ): 734 - 743 .
National Quality Control Center for Anesthesia Specialty . 2023 Chinese expert consensus statement for prevention and management of perioperative hypothermia [J]. Med J Peking Union Med Coll Hosp , 2023 , 14 ( 4 ): 734 - 743 . (in Chinese)
胡丽娟 , 张麟 , 胡定美 , 等 . 肩关节镜手术中灌注液温度对患者术后肿胀疼痛及关节功能恢复的影响 [J]. 西部医学 , 2024 , 36 ( 8 ): 1166 - 1169 .
HU L J , ZHANG L , HU D M , et al . Influence of perfusate temperature in arthroscopic shoulder surgery on postoperative swelling, pain and joint function recovery in the patients [J]. Med J West China , 2024 , 36 ( 8 ): 1166 - 1169 . (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)
唐红华 , 卢秀英 , 李霞 , 等 . 肿瘤患者术中低体温发生率及影响因素分析 [J]. 当代护士(下旬刊) , 2020 , 27 ( 7 ): 33 - 36 .
TANG H H , LU X Y , LI X , et al . Analysis of incidence and risk factors of intraoperative hypothermia in tumor patients [J]. Today Nurse , 2020 , 27 ( 7 ): 33 - 36 . (in Chinese)
章明阳 , 刘京辉 , 金雁 , 等 . 围手术期低体温风险预测模型的系统评价 [J]. 护理学报 , 2024 , 31 ( 22 ): 54 - 60 .
ZHANG M Y , LIU J H , JIN Y , et al . Systematic review of perioperative hypothermia risk prediction model [J]. J Nurs China , 2024 , 31 ( 22 ): 54 - 60 . (in Chinese)
伍爱平 , 蔡幸健 , 杨清余 , 等 . 医学运动康复技术联合肩关节镜手术对肩袖撕裂患者治疗及康复的效果分析 [J]. 江西医药 , 2025 , 60 ( 6 ): 500 - 503 .
WU A P , CAI X J , YANG Q Y , et al . Analysis of the effect of medical sports rehabilitation technology combined with shoulder arthroscopy surgery on the treatment and rehabilitation of patients with rotator cuff tears [J]. Jiangxi Med J , 2025 , 60 ( 6 ): 500 - 503 . (in Chinese)
李煜 , 袁凌伟 , 段磊 , 等 . 全肩关节镜下双滑轮无结缝线桥技术对肩袖损伤患者疼痛及肩关节活动情况的影响 [J]. 贵州医药 , 2024 , 48 ( 11 ): 1738 - 1740 .
LI Y , YUAN L W , DUAN L , et al . Effect of double pulley knot-free suture bridge technique under total shoulder arthroscopy on pain and shoulder joint movement in patients with rotator cuff injury [J]. Guizhou Med J , 2024 , 48 ( 11 ): 1738 - 1740 . (in Chinese)
周文辉 , 徐龙伟 . 全肩关节镜下双滑轮无结缝线桥技术对肩袖损伤患者的疗效分析 [J]. 浙江创伤外科 , 2024 , 29 ( 10 ): 1831 - 1833, 1852 .
ZHOU W H , XU L W . Analysis of total shoulder arthroscopic double-pulley suture bridge technique in patients with rotator cuff injury [J]. Zhejiang J Trauma Surg , 2024 , 29 ( 10 ): 1831 - 1833, 1852 . (in Chinese)
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
