Meta-analysis of the application effect of compound heat preservation in elderly patients undergoing hip arthroplasty
WANG Yuelin
JIANG Yunlan
LI Le
CHEN Hong
WANG Jing
ZHANG Mengjie
BAI Xiaoyu
WU Senlin
Abstract：Objective To systematically review the application effect of compound heat preservation in elderly pa-tients undergoing hip arthroplasty.Methods PubMed,Cochrane Library,Embase,CINAHL,Web of Science,SinoMed,CNKI,WanFang and VIP databases were electronically searched to collect the randomized controlled trials of compound heat preservation applied to the elderly patients undergoing hip arthroplasty,from inception to November 12,2024.The experimental group used≥3 measures of compound heat preservation for patients during the perioperative peri-od,while the control group received conventional insulation nursing measures.A meta-analysis was performed using Rev-Man5.4 software.Results A total of 16 RCTs were included in the literature,including 1 272 elderly patients undergo-ing hip arthroplasty.The results of the meta-analysis showed that,compared with the control group,the experimental group was more effective in intraoperative insulation(MD=0.31,95%CI:0.25-0.37,P<0.000 01);low incidence of postoperative hypothermia(OR=0.14,95%CI:0.08-0.23,P<0.01),low incidence of postoperative chills(OR=0.14,95%CI:0.10-0.21,P<0.01),low incidence of postoperative agitation(OR=0.23,95%CI:0.06-0.84,P=0.03);reduced prothrombin time(MD=-3.17,95%CI:-5.19--1.14,P=0.002),reduced activated partial thromboplastin time(MD=-5.95,95%CI:-9.69--2.20,P=0.002),shortened anesthesia awakening time(MD=-3.96,95%CI:-5.83--2.08,P<0.000 1);elevated CD4+level(MD=2.97,95%CI:2.09-3.85,P<0.01),decreased CD8+level(MD=-2.30,95%CI:-2.98--1.62,P<0.01),and elevated CD4+/CD8+level(MD=0.22,95%CI:0.17-0.26,P<0.01).However,the difference was not statistically significant for the fibrinogen(P=0.17).Conclusion The compound heat preservation has a good insulation effect on elderly patients undergoing hip arthroplasty,can effectively reduces the inci-dence of postoperative complications,has less impact on patients'major coagulation and immune functions,and shortens the patients'anesthesia awakening time.
Keywords：compound heat preservationhip arthroplastyhypothermiaaged
Publication Date：2025-06-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 19-25 )