首页|丙泊酚复合氯胺酮静脉麻醉治疗小儿腹股沟疝的手术室护理研究

丙泊酚复合氯胺酮静脉麻醉治疗小儿腹股沟疝的手术室护理研究

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目的 分析丙泊酚复合氯胺酮静脉麻醉治疗小儿腹股沟疝的手术室护理措施.方法 选取2015年8月~2017年5月台州市立医院收治的100例小儿腹股沟疝患儿,均分为对照组(n=50)和实验组(n=50).2组患儿均进行丙泊酚复合氯胺酮静脉麻醉.对照组进行常规护理措施,实验组患儿给予相应的干预护理,于麻醉前为患儿及其家属讲解相关注意点,加强交流,消除负面情绪,调节手术室温度,术中积极配合麻醉师用药,密切关注相关生命体征情况.比较分析实验组与对照组患儿手术麻醉优良率、不良反应发生情况及患儿家长满意度等临床指标.结果 实验组优良率为94.0%,显著高于对照组的优良率76.0%(P<0.05).实验组不良反应发生率为2.0%,低于对照组的不良反应发生率12.0%(P<0.05).实验组与对照组家长护理满意度分别为92.0%与80.0%,比较差异有统计学意义(P<0.05).结论 丙泊酚复合氯胺酮静脉麻醉治疗小儿腹股沟疝的手术室护理措施应用,能够显著提高护理质量,降低不良反应发生率.
Study on nursing care of children with inguinal hernia treated with propofol combined with ketamine intravenous anesthesia
Objective To analyze the operation room nursing measures of propofol combined ketamine intravenous anesthesia in the treatment of inguinal hernia in children. Methods 100 children with inguinal hernia from August 2015 to May 2017 were selected as the subjects and divided into control group (n=50) and experiment group (n=50). Propofol and ketamine intravenous anesthesia were performed in the two groups. The control group was given routine nursing measures, the experimental group were given corresponding nursing intervention, before anesthesia for children and their families to explain the relevant points, strengthen communication, eliminate negative emotions, regulate the temperature in the operation room, patients actively cooperate with the anesthesiologist medication, closely related to the life signs. Comparative analysis of the experimental group and the control group of children with good rate of anesthesia, adverse reactions and parents' satisfaction and other clinical indicators. Results After the corresponding nursing measures, the excellent and good rate of the experimental group was 94%, significantly higher than 76% of the control group (P<0.05). The adverse reaction rate of the experimental group was 2%, significantly lower than 12% of the control group (P<0.05) . The satisfaction degree of the parents in the experimental group and the control group were 92%and 80%, respectively, with statistical significance (P<0.05). Conclusion The application of propofol combined with ketamine intravenous anesthesia in nursing care of children with inguinal hernia can significantly improve the quality of care and reduce the incidence of adverse reactions.

propofolketaminepediatric inguinal hernianursing studyintravenous anesthesia

陈靖、胡伟玲

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台州市立医院,浙江 台州 318000

台州学院,浙江 台州 318000

丙泊酚 氯胺酮 小儿腹股沟疝 护理研究 静脉麻醉

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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