ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (3): 261-266.doi: 10.3761/j.issn.2096-7446.2026.03.001

• 论著 •    下一篇

以时间节点为导向的体温管理在多发伤手术患者中的应用效果研究

胡莹莹1(), 董瑜2, 刘佩佩1, 张榅杰1, 张燕群1,*()   

  1. 1 中国人民解放军空军军医大学第一附属医院急诊科 西安市 710032
    2 西安市第三医院口腔科 西安市 710032
  • 收稿日期:2025-04-11 出版日期:2026-03-10 发布日期:2026-03-02
  • 通讯作者: 张燕群 E-mail:qwdudi@163.com;1547262654@qq.com
  • 作者简介:胡莹莹：女，本科，主管护师，科研组长，E-mail：qwdudi@163.com

The application effect of temperature management based on time points in patients undergoing surgery for multiple injuries

HU Yingying1(), DONG Yu2, LIU Peipei1, ZHANG Wenjie1, ZHANG Yanqun1,*()   

  1. 1 Emergency Department， the First Affiliated Hospital of Air Force Medical University of the Chinese People’s Liberation Army， Xi’an 710032， China
    2 Department of Stomatology， Xi’an Third Hospital， Xi’an 710032， China.
  • Received:2025-04-11 Online:2026-03-10 Published:2026-03-02
  • Contact: ZHANG Yanqun E-mail:qwdudi@163.com;1547262654@qq.com

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摘要：

目的 探讨以时间节点为导向的体温管理在多发伤手术患者中的应用效果。方法 以2024年1月—12月西安市某三级甲等医院急诊科救治的94例多发伤患者为研究对象，其中2024年1月—6月救治的47例患者作为对照组，2024年7月—12月救治的47例患者作为试验组。对照组患者给予手术室常规保温管理，试验组患者给予以时间节点为导向的体温管理。比较入手术室（T0）、手术30 min（T1）、手术90 min（T2）、切口闭合（T3）时刻两组的手术室核心体温，以及两组术中寒战发生率与体温相关不良事件发生率。结果 T2、T3时试验组患者核心体温高于对照组[（35.95±0.42） ℃与（35.73±0.59） ℃，（36.17±0.30） ℃与（35.89±0.56） ℃，均P<0.05]；试验组患者术中寒战发生率低于对照组（2.13%与17.02%，P<0.05）；两组体温相关不良事件发生率比较，差异无统计学意义（P>0.05）。结论 相比于手术室常规体温管理，以时间节点为导向的体温管理对多发伤手术患者保护效果更加显著，并能降低术中寒战发生率。

关键词: 多发伤, 手术室, 复温技术, 术中低体温, 体温保护

Abstract:

Objective To explore the application effect of time-axis oriented temperature protection strategy in patients undergoing multiple trauma surgery. Methods 94 patients with multiple injuries treated in a Grade-A tertiary hospital in Xi ’an City from January 2024 to December 2024 were selected as the research subjects. Among them，47 patients treated from January to June 2024 were assigned to the control group，and 47 patients treated from July to December 2024 were assigned to the experimental group. The control group received routine temperature management in the operating room，while the experimental group received a time-axis oriented temperature protection strategy. The core body temperatures of the two groups at the time of entering the operating room（T0），30 minutes into the surgery（T1），90 minutes into the surgery（T2），and at the time of incision closure（T3） were compared，as well as the incidence of intraoperative shivering and the incidence of adverse events.Results At T2 and T3，the core body temperatures of the experimental group were higher than those of the control group[（35.95±0.42） ℃ vs（35.73±0.59） ℃，（36.17±0.30） ℃ vs（35.89±0.56） ℃]，all P<0.05. The incidence of intraoperative shivering of the experimental group was lower than that of the control group（2.13% vs 17.02%，P< 0.05）. There was no statistically significant difference in the incidence of adverse events between the two groups （P>0.05）.Conclusion Compared with routine temperature management in the operating room，the time-axis-based temperature protection strategy has a more significant effect on maintaining body temperature in patients with multiple injuries undergoing surgery，and reduces the rate of intraoperative shivering.

Key words: Multiple Injuries, Operating Room, Rewarming Technique, Intraoperative Hypothermia, Temperature Protection