首页|手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动的影响

手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动的影响

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目的 探讨手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动(EA)的影响。方法 选取 2020 年 1月至 2022 年 10 月期间在信阳市中心医院收治的 88 例腹部手术患者,随机分为对照组和观察组,各 44 例。对照组予以常规护理,观察组采用手术室麻醉苏醒期护理。比较两组患者苏醒相关指标,EA评分及发生率、苏醒期血压、心率情况以及不良反应发生率。结果 观察组麻醉恢复室(PACU)滞留时间、拔管时间、完全苏醒时间短于对照组,差异有统计学意义(P<0。05)。观察组EA发生率(6。82%)低于对照组(27。27%),差异有统计学意义。观察组患者苏醒期心率、血压均较优于对照组,差异有统计学意义(P<0。05)。观察组不良反发生率(4。45%)低于对照组(18。18%),差异有统计学意义(P<0。05)。结论 手术室麻醉苏醒期护理可降低腹部手术患者全身麻醉EA发生,保持患者心率、血压稳定,降低术后不良事件发生。
Effect of Anesthesia Recovery Nursing in Operating Room on Agitation During General Anesthesia Recovery in Patients Undergoing Abdominal Operation
Objective To investigate the effect of anesthesia recovery nursing in the operating room on emergence agitation(EA)during recovery from general anesthesia in patients undergoing abdominal surgery.Methods A total of 88 cases of abdominal surgery patients,(2020.01-2022.10)admitted to Xinyang Central Hospital are selected and randomly divided into a control group and an observation group,44 cases each.The control group was given conventional care and observation group was given anesthesia recovery nursing in operating room.To compare the wake up related indexes,EA score and incidence,blood pressure and heart rate conditions during wake up period and the incidence of adverse reactions between the two groups.Results The retention time of postanesthesia care unit(PACU),extubation time and full recovery time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).The incidence of emergence agitation(EA)in the observation group(6.82%)was lower than that in the control group(27.27%),and the difference was statistically significant.Compared with the two groups,the heart rate and blood pressure in the observation group were better during the recovery period,and the difference was statistically significant.(P<0.05).The incidence of adverse reactions in observation group(4.45%)was lower than that in control group(18.18%),and the difference was statistically significant(P<0.05).Conclusion Anesthesia recovery nursing in the operating room can reduce the occurrence of EA during general anesthesia recovery in abdominal surgery patients,keep patients'heart rate and blood pressure stable,and reduce the incidence of postoperative adverse events.

abdominal operationgeneral anesthesiarecovery agitationanesthesia and recovery nursing in the operating room

田方、张秀萍

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信阳市中心医院 麻醉科,河南 信阳 464000

腹部手术 全身麻醉 苏醒期躁动 手术室麻醉苏醒期护理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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