老年患者髋部手术围术期低体温的研究进展
Research Progress on Perioperative Hypothermia in Elderly Patients Undergoing Hip Surgery
摘要: 围术期低体温是指因围术期非医疗目的导致患者核心体温降至36℃以下的一种临床现象。其中老年患者髋部骨折患者因高龄、基础疾病多、器官功能衰退等特点，围手术期并发症风险显著增加，低体温是常见但易被忽视的问题，这种低体温状态不仅增加术后感染、心血管事件及认知功能障碍风险，还可能延长麻醉复苏时间。本文综合现有研究，探讨老年髋部手术围术期低体温的病理机制、危险因素及防控策略以期提升患者舒适度、改善预后。
Abstract: Perioperative hypothermia refers to a clinical phenomenon characterized by a non-medically induced drop in the patient’s core body temperature below 36˚C during the perioperative period. Elderly patients with hip fractures, due to advanced age, multiple comorbidities, and compromised organ function, face a significantly increased risk of perioperative complications. Hypothermia is a common yet frequently overlooked issue in this population. This hypothermic state not only elevates the risks of postoperative infection, cardiovascular events, and cognitive dysfunction but may also prolong anesthesia recovery time. This article synthesizes current research to explore the pathological mechanisms, risk factors, and prevention/control strategies for perioperative hypothermia in elderly patients undergoing hip surgery. The aims are to enhance patient comfort, improve clinical outcomes, and achieve effective hospitalization cost savings.
文章引用：刘凯悦, 韩彬. 老年患者髋部手术围术期低体温的研究进展[J]. 临床医学进展, 2025, 15(9): 352-359. https://doi.org/10.12677/acm.2025.1592497

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