目的 分析苏醒室入室患者低体温发生的围术期特征，以期为制定相关管理措施提供参考。 方法 回顾性分析2019年11月至2021年5月某院实施胸腔镜肺叶手术患者（n=200）的临床资料,以发生苏醒室入室低体温的85例患者为病例组,未发生的115例患者为对照组,比较两组患者的围术期特征。 结果 两组患者在年龄、体质量指数（body mass index，BMI）、麻醉类型、麻醉时长、入室核心体温、准备时间、入苏醒室时间、 手术结束至入苏醒室时间等项目上差异均有统计学意义（均P＜0.05）。年龄、中班入苏醒室、复合麻醉、麻醉时长、准备时间、手术结束至苏醒室时间是手术患者发生苏醒室低体温的危险因素；BMI、入室核心体温是其保护因素（均P＜0.05）。病例组患者苏醒室停留时间、住院天数、尿量及凝血功能与对照组比较，差异均有统计学意义（均P＜0.01）。 结论 护理人员应评估围术期患者年龄、入苏醒室时间、麻醉类型、麻醉时长、准备时间、BMI、核心体温、手术结束至苏醒室时间,积极预防苏醒室低体温的发生,同时关注苏醒室低体温给患者造成的风险。

Objective To analyze the perioperative characteristics of the incidence of hypothermia in the recovery room,so as to provide reference for the management of hypothermia in the recovery room. Methods A retrospective analysis was conducted among the clinical data of patients(n=200) underwent thoracoscopic pulmonary lobectomy in a hospital from November 2019 to May 2021.85 patients with recovery room hypothermia were selected as the case group and 115 patients without recovery room hypothermia were selected as the control group.The perioperative characteristics of the two groups were compared. Results There were significant differences between the two groups in age,body mass index(BMI),anesthesia type,anesthesia duration,core temperature when entering the recovery room,preparation time,time of entering the recovery room and time from the end of the operation to the recovery room and so on.There were statistically significant differences in the above items(all P＜0.05).Age,mid-shift to the recovery room,combined anesthesia,duration of anesthesia,operation preparation time,and time from the end of the operation to the recovery room were the risk factors for the occurrence of recovery room hypothermia.BMI and core body temperature were protective factors（all P＜0.05）.There were significant differences between the two groups in the stay time of the recovery room,hospitalization days,urine volume and blood clotting function(all P＜0.01). Conclusions Nursing staff should evaluate the perioperative patient’s age,time of entering the recovery room,anesthesia type,anesthesia duration,preparation time,BMI and core body temperature,time from the end of the operation to the recovery room,actively prevent the occurrence of hypothermia in the recovery room,and pay attention to the risks caused by hypothermia in the recovery room.

R472.3

同济医院回国人员启动基金（2020HGRY012）