Effect of thermal insulation measures on intervention of perioperative hypothermia in patients undergoing abdominal surgery:a network meta-analysis
10.3969/j.issn.1671-8283.2024.08.011
- VernacularTitle:不同保温措施对腹部手术患者围术期低体温干预效果的网状Meta分析
- Author:
Ya JI
1
;
Fei CHAI
;
Liping ZHOU
;
Pingping YU
;
Yi WANG
Author Information
1. 海军军医大学第三附属医院 重症医学科,上海,200082
- Keywords:
thermal insulation measures;
abdominal surgery;
perioperative period;
hypothermia;
network Meta-analysis
- From:
Modern Clinical Nursing
2024;23(8):81-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of different thermal insulation measures on intervention of perioperative hypothermia in patients undergoing abdominal surgery,through a network Meta-analysis.Methods A systematic search through online databases was conducted from the inception of the databases to August 2023.Databases of CNKI,VIP,Wan Fang Data,SinoMed,PubMed,the Cochrane Library,Web of Science and Embase were searched to retrieve randomly controlled trials(RCTs)in the effectiveness of different thermal insulation measures on perioperative hypothermia in patients undergoing abdominal surgery.According to the inclusion and exclusion criteria,two researchers independently screened the retrieved literatures,extracted data and evaluated the quality of acquired data.Revman 5.4,R 4.3.1 and Stata17.0 were used for the network meta-analysis of the acquired data.Results A total of 26 RCTs were included,involving 9 thermal insulation measures that involved with 2 414 patients.Meta-analysis showed that an inflatable blanket combined with warmed intravenous infusion achieved the best effectiveness in maintaining the perioperative core temperature of the patients with abdominal surgery.An inflatable blanket combined with warmed peritoneal lavage fluid achieved the best effectiveness in reduction of the incidence of perioperative hypothermia and shivering.Conclusion This study shows that a combination of inflatable blanket with warmed peritoneal lavage fluid/warmed intravenous infusion can achieve the best effectiveness on intervention of perioperative hypothermia in patients undergoing abdominal surgery.
