一项前瞻性随机试验:与室温液体相比,加热冲洗液体不能降低髋关节镜手术中直肠测量的低体温发生率。

IF 2.4 3区 医学 Q2 ORTHOPEDICS
Orthopaedic Journal of Sports Medicine Pub Date : 2025-06-26 eCollection Date: 2025-06-01 DOI:10.1177/23259671251350401
Ahmet Fırat, Enejd Veizi, İlknur Kalaycı, Başak Sinem Sezgin, Yasin Erdoğan, Safa Gürsoy, Bruno Capurro-Soler, Christos Koutserimpas
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引用次数: 0

摘要

背景:在髋关节镜手术中,经常使用密切监测和加热的冲洗液来避免体温过低和相关并发症。生理盐水在髋关节镜手术中广泛使用,但它们通常保存在室温下,比患者的核心温度低。目的:探讨热灌洗液预防髋关节镜手术中体温过低的效果,以及髋关节镜手术中直肠测得的核心温度与颞区测得的核心温度是否存在差异。研究设计:随机对照试验;证据等级2。方法:前瞻性纳入2021 ~ 2023年间接受髋关节镜手术治疗股髋臼撞击综合征的患者,分为2组:冲洗液室温保存组(1组)和冲洗液加热至36℃~ 38℃组(2组)。探头插入直肠粘膜,每15分钟测量患者体温。用激光体温计测量患者颞区温度。结果:60例患者随机分为1组,56例患者分为2组。体温过低,定义为体温P = 0.425)。直肠测温明显多于颞部测温(54例vs 2例);P < 0.001)。直肠测温对低体温的检测也更快(分别为69.6±47.2 vs 138.2±56.8分钟);P < 0.001)。结论:本研究表明,使用室温或加热的冲洗液对体温过低的发生率没有影响。在髋关节镜手术中,直肠测量核心体温可以早期发现低温。注册:NCT05396924 (ClinicalTrials.gov)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Heated Irrigation Fluids Did Not Reduce the Prevalence of Rectally Measured Hypothermia During Hip Arthroscopic Surgery Compared With Room-Temperature Fluids: A Prospective Randomized Trial.

Background: Close monitoring and heated irrigation fluids have been frequently used to avoid hypothermia and associated complications during hip arthroscopic surgery. Saline fluids are used extensively in hip arthroscopic surgery, but they are routinely stored at room temperature and are cooler than the patient's core temperature.

Purpose: To investigate the efficacy of heated irrigation fluids to prevent hypothermia during hip arthroscopic surgery and whether the core temperature measured rectally during hip arthroscopic surgery differs from the core temperature measured at the temporal region.

Study design: Randomized controlled trial; Level of evidence, 2.

Methods: Patients who underwent hip arthroscopic surgery for the treatment of femoroacetabular impingement syndrome between 2021 and 2023 were prospectively enrolled and divided into 2 groups: those whose irrigation fluids were stored at room temperature (group 1) and those whose irrigation fluids were heated to 36°C to 38°C (group 2). A probe inserted in the rectal mucosa was used to measure the patient's body temperature every 15 minutes. The patient's temperature was also measured at the temporal region with a laser thermometer. A body temperature <36°C, detected by either method, was considered as hypothermia. The method that detected hypothermia more quickly was investigated, and the effect of the heated irrigation fluids was explored. Statistical analyses were conducted to compare temperature measurements and the incidence of hypothermia between the groups using appropriate tests for categorical and continuous variables based on the data distribution.

Results: There were 60 patients randomized and allocated to group 1 and 56 patients to group 2. Hypothermia, defined as a temperature <36°C, occurred in 32 patients (53.3%) in group 1 and 24 patients (42.9%) in group 2. There was no difference between the groups using heated or room-temperature fluids in the onset of hypothermia (P = .425). Significantly more hypothermia cases were detected by the rectal temperature measurement than by the temporal temperature measurement (54 vs 2 patients, respectively; P < .001). The rectal temperature measurement was also quicker in detecting hypothermia (69.6 ± 47.2 vs 138.2 ± 56.8 minutes, respectively; P < .001).

Conclusion: This study demonstrates that the usage of either room-temperature or heated irrigation fluids did not influence the incidence of hypothermia. Rectal measurements of core body temperature detected hypothermia earlier during hip arthroscopic surgery.

Registration: NCT05396924 (ClinicalTrials.gov).

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来源期刊
Orthopaedic Journal of Sports Medicine
Orthopaedic Journal of Sports Medicine Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
7.70%
发文量
876
审稿时长
12 weeks
期刊介绍: The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty. Topics include original research in the areas of: -Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries -Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot) -Relevant translational research -Sports traumatology/epidemiology -Knee and shoulder arthroplasty The OJSM also publishes relevant systematic reviews and meta-analyses. This journal is a member of the Committee on Publication Ethics (COPE).
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