文章摘要
中西医防治围术期低体温的研究进展
Research progress of prevention and treatment of inadvertent perioperative hypothermia with traditional Chinese medicine and western medicine
  
DOI:10.12089/jca.2022.08.019
中文关键词: 围术期低体温  中医  西医  防治
英文关键词: Inadvertent perioperative hypothermia  Traditional Chinese medicine  Western medicine  Prevention and treatment
基金项目:山东省自然科学基金面上项目(ZR2020MH391)
作者单位E-mail
李新悦 250014,济南市,山东中医药大学中医学院  
季加富 山东中医药大学附属医院麻醉科  
苏帆 山东中医药大学附属医院麻醉科 boatsail@126.com 
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中文摘要:
      围术期患者常发生低体温。目前防治围术期低体温(IPH)多采用物理保温、升温的方法。中医认为,体温降低与机体阳气温煦失司、营卫失调、阴阳失衡以及脏腑功能受损有关。从创伤出血证候出发,围术期发生的低体温与寒邪内侵导致的阳气不舒关系最为密切。按照中医的阳气不舒理论进行论治可采用调畅气血、舒展全身阳气的方法防治术中、术后低体温,方法包括艾灸、穴位贴敷、穴位按摩、中药热熨等。本文对中医、西医防治IPH的进展进行综述,并展望中西医结合防治IPH的前景,以期为预防IPH提供更加有效的方法,达到促进患者快速康复的目的。
英文摘要:
      Perioperative patients often develop hypothermia. At present, the prevention and treatment of inadvertent perioperative hypothermia (IPH) are mainly physical insulation and heating. Traditional Chinese medicine (TCM) holds that body temperature reduction is associated with the decline of yang-qi warming function, disharmony between ying-qi and wei-qi, imbalance of yin and yang, and impaired function of zang-fu organs. From the perspective of traumatic hemorrhage syndrome, perioperative hypothermia is most closely related to yang-qi unrelaxation caused by the internal invasion of cold pathogen. According to the theory of yang-qi unrelaxation in TCM, the methods of regulating qi and blood and relaxing the whole body yang-qi can be used to prevent and treat intraoperative and postoperative hypothermia. The methods include moxibustion, acupoint sticking, acupoint massage, Chinese medicine hot ironing and other external treatment methods of TCM. This paper reviews the progress of TCM and western medicine in the prevention and treatment of IPH, and looks forward to the prospect of integrated TCM and western medicine in the prevention and treatment of IPH, in order to provide a more effective method for maintaining perioperative body temperature and promoting the rapid recovery of the patient.
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