收稿日期: 2025-04-11
网络出版日期: 2026-03-02
The application effect of temperature management based on time points in patients undergoing surgery for multiple injuries
Received date: 2025-04-11
Online published: 2026-03-02
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。
胡莹莹 , 董瑜 , 刘佩佩 , 张榅杰 , 张燕群 . 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[J]. 中华急危重症护理杂志, 2026 , 7(3) : 261 -266 . DOI: 10.3761/j.issn.2096-7446.2026.03.001
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.
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