院外心搏骤停患者急诊救治中体温管理策略的范围综述

doi:10.3761/j.issn.2096-7446.2026.10.007

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (10): 1201-1208.doi: 10.3761/j.issn.2096-7446.2026.10.007

• 心脑血管急危重症护理专题 • 上一篇下一篇

院外心搏骤停患者急诊救治中体温管理策略的范围综述

王钰炜¹(), 王飒²^,^*(), 许书荣¹, 闫丹萍¹, 周帅帅¹, 刘亚洁¹, 王美玲¹

¹ 浙江大学医学院附属第二医院护理部杭州市 310000
² 浙江大学医学院附属第二医院急诊医学科杭州市 310000

收稿日期:2025-10-26 出版日期:2026-10-10 发布日期:2026-10-14
通讯作者: *王飒，E-mail：2506025@zju.edu.cn
作者简介:王钰炜：女，硕士，主任护师，E-mail：zrwyw@zju.edu.cn
作者贡献声明
王钰炜：研究问题酝酿与构思、方法学指导、起草论文、论文修改、经费支持；王飒：对论文的知识性内容作批判性审阅、方法学指导、论文修改；许书荣：起草论文、论文修改；闫丹萍：采集数据；周帅帅：论文修改；刘亚洁：对论文的知识性内容作批判性审阅；王美玲：文献检索与筛选
基金资助:
浙江省医药卫生科技项目(2025HY0391)

Temperature management strategies for out-of-hospital cardiac arrest patients in the emergency setting：a scoping review

WANG Yuwei¹(), WANG Sa²^,^*(), XU Shurong¹, YAN Danping¹, ZHOU Shuaishuai¹, LIU Yajie¹, WANG Meiling¹

¹ Department of Nursing， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
² Emergency Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China

Received:2025-10-26 Online:2026-10-10 Published:2026-10-14
Contact: *WANG Sa，E-mail：2506025@zju.edu.cn
Supported by:
Zhejiang Provincial Medical and Health Science and Technology Project(2025HY0391)

摘要/Abstract

摘要：

目的梳理并总结院外心搏骤停（out-of-hospital cardiac arrest，OHCA）患者在急诊救治中的体温管理策略。方法根据范围综述的研究规范，系统检索PubMed、Web of Science、中国知网、万方数据库等8个数据库，检索时限为建库至2025年6月24日。筛选纳入文献后，对OHCA患者在急诊救治中的目标体温范围、体温调节方式、体温监测方式、药物使用情况等进行归纳。结果共纳入25篇文献，体温管理措施均为降温，具体方式为冷液体输注与体表降温，常见的体温监测方式为膀胱温、食管温与鼓膜温，常见的药物使用为镇静镇痛药与肌松药，但使用时机与剂量在各研究中差异较大。结论 OHCA患者在急诊救治中的体温调节探索受限于区域、制度、硬件水平等因素，尚不深入，不同区域间存在较大差异，且近5年国内外报道较少，存在研究空白。未来应在考虑不同医疗机构设备条件的基础上，对体温调节措施与监测方式进行进一步探索。

关键词: 院外心搏骤停, 急诊, 体温管理, 护理

Abstract:

Objective To review and summarize temperature management strategies for patients with out-of-hospital cardiac arrest（OHCA） in the emergency setting. Methods According to the research specifications of scoping reviews，we systematically searched eight databases（PubMed，Web of Science，CNKI，Wanfang and etc.） from inception to June 24，2025. Eligible studies were reviewed to synthesize evidence on target temperature ranges，cooling techniques，monitoring modalities，and pharmacological interventions for OHCA patients in emergency departments. Results A total of 25 studies was included. All temperature management strategies focused on cooling，primarily via cold saline infusion and surface cooling. Commonly reported monitoring methods included bladder，esophageal，and tympanic temperature measurements. Frequently used pharmacological agents were sedatives，analgesics，and muscle relaxants；however，their timing and dosing varied considerably across studies. Conclusion The exploration of temperature regulation in the emergency treatment of OHCA patients is limited by factors such as region，system，and hardware conditions，and remains insufficiently in-depth. There are considerable disparities across different regions，and few relevant reports have been published both domestically and internationally in the past five years，leaving a research gap. Future research should further explore temperature management strategies and monitoring approaches tailored to the resources of different healthcare systems.

Key words: Out-of-Hospital Cardiac Arrest, Emergency Setting, Temperature Management, Nursing Care

王钰炜, 王飒, 许书荣, 闫丹萍, 周帅帅, 刘亚洁, 王美玲. 院外心搏骤停患者急诊救治中体温管理策略的范围综述[J]. 中华急危重症护理杂志, 2026, 7(10): 1201-1208.

WANG Yuwei, WANG Sa, XU Shurong, YAN Danping, ZHOU Shuaishuai, LIU Yajie, WANG Meiling. Temperature management strategies for out-of-hospital cardiac arrest patients in the emergency setting：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(10): 1201-1208.

图/表 2

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院外心搏骤停患者急诊救治中体温管理策略的范围综述

Temperature management strategies for out-of-hospital cardiac arrest patients in the emergency setting：a scoping review

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