多感官唤醒干预对全麻插管患者拔管后苏醒期和并发症的影响分析
Analysis of the Influence of Multi-Sensory Arousal Intervention on the Recovery Period and Complications after Extubation in Patients with General Anesthesia Intubation
蔡江林 1陈其玲2
作者信息
- 1. 山东省聊城市中医医院麻醉科,山东 聊城 252000
- 2. 山东省聊城市人民医院药房,山东 聊城 252000
- 折叠
摘要
目的:探讨多感官唤醒干预对全麻插管患者拔管后苏醒期和并发症的影响.方法:选取 60例 2020年 8月—2022年 8月于聊城市中医医院行全麻插管的插管患者为研究对象,按照随机数表法将其分为对照组和研究组,各 30例.对照组采用传统语音唤醒模式,研究组采用多感官唤醒模式.比较两组的临床指标、意识状态、苏醒质量及并发症发生情况.结果:研究组自主呼吸恢复时间、苏醒室停留时间均短于对照组,差异均有统计学意义(P<0.05).拔管后 10 min,研究组格拉斯哥昏迷评分量表评分低于对照组,恢复质量评分-40高于对照组,差异均有统计学意义(P<0.05).研究组并发症发生率为 10.00%,低于对照组的 23.33%,差异有统计学意义(P<0.05).结论:多感官唤醒干预可缩短全麻插管拔管后患者的苏醒时间,提高苏醒质量并降低并发症的发生率,具有较高的应用价值.
Abstract
Objective:To investigate the effects of multi-sensory arousal intervention on the recovery period and complications after extubation patients with general anesthesia intubation.Methods:Sixty patients who underwent general anesthesia intubation in Liaocheng Hospital of Traditional Chinese Medicine from August 2020 to August 2022 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 30 patients in each group.The control group adopted traditional voice arousal mode,while the study group adopted multi-sensory arousal mode.The clinical indexes,state of consciousness,quality of recovery and complications of the two groups were compared.Results:The recovery time of spontaneous respiration and the stay time of the recovery room in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).Ten minutes after extubation,the Glasgow Coma Score Scale score of the study group was lower than that of the control group,and the Recovery of Quality score-40 was higher than that of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 10.00%,which was lower than 23.33%in the control group,the difference was statistically significant(P<0.05).Conclusion:Multi-sensory arousal intervention can shorten the recovery time,improve the recovery quality and reduce the incidence of complications in patients with general anesthesia intubation after extubation.
关键词
全麻/拔管/苏醒期/多感官唤醒/并发症/苏醒质量Key words
General anesthesia/Extubation/Recovery period/Multisensory arousal/Complications/Recavery quality引用本文复制引用
基金项目
山东省卫生健康委员会(2019WS118)
出版年
2024
国家科技期刊平台
NSTL
万方数据