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手术室麻醉苏醒护理对减少腹部手术患者全麻苏醒期躁动的疗效评价

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目的 研究分析手术室麻醉苏醒护理对减少腹部手术患者全麻苏醒期躁动的疗效评价.方法 选取余姚市第二人民医院麻醉科2016年2月~2017年4月收治的88例腹部手术患者为研究对象,随机(抽签、就诊序号等方法)分为对照组与实验组.对照组进行常规护理措施,实验组进行手术室麻醉苏醒护理,做好术前心理干预措施,积极与患者进行沟通和交流,告知患者相关的手术注意事项和疾病知识,术后做好疼痛护理,关注患者血压等生命指标.比较分析实验组与对照组患者的全麻苏醒期躁动评分、躁动发生率及心率血压等指标.结果 对照组躁动评分为(2.95±0.25)分,显著高于实验组评分(1.15±0.16)分,2组比较差异具有统计学意义(P<0.05).实验组发生躁动例数为6例(13.64%),显著少于对照组12例(27.27%),对照组患者心率为(88.34±8.45)次/min,显著高于实验组心率(75.20±9.23)次/min,实验组收缩压及舒张压均显著低于对照组,2组比较差异具有统计学意义(P<0.05).结论 腹部手术患者应用手术室麻醉苏醒护理能够显著降低全麻苏醒期躁动发生率,安全性较高,疗效理想.
Evaluation of the effect of anesthesia waking nursing in operation room on reducing restlessness during general anesthesia recovery period
Objective To study and analyze the effect of anesthesia awake nursing in operation room on reducing restlessness of general anesthesia recovery period in patients undergoing abdominal surgery. Methods A total of 88 patients undergoing abdominal surgery from February 2016 to April 2017 in the second people's Hospital of Yuyao were randomly divided into control group and experimental group. The control group was given routine nursing measures, the experimental group of nursing in operation room awake anesthesia, preoperative psychological intervention measures, and actively communicate and communicate with patients, inform patients of related surgical considerations and knowledge of disease, pain nursing after the operation, the blood pressure index of life concern. The restlessness score, agitation rate, heart rate, blood pressure and other indexes were compared between the experimental group and the control group during the recovery period of general anesthesia. Results The restlessness score of the control group was (2.95±0.25), significantly higher than that of the experimental group (1.15±0.16), and the difference between two groups was statistically significant (P<0.05). The experimental group had agitated for 6 cases (13.64%), significantly less than the control group in 12 cases (27.27%), the control group for patients with heart rate (88.34±8.45) times / min, heart rate was significantly higher than the experimental group (75.20±9.23) times / min, the systolic blood pressure and diastolic blood pressure were significantly lower than the control group. There was significant difference between two groups (P<0.05). Conclusion The application of anesthesia recovery nursing in abdominal surgery patients can significantly reduce the incidence of restlessness in the recovery period of general anesthesia, with high safety and ideal curative effect.

abdominalanesthesia recovery caregeneral anesthesia recovery periodoperation room

何雄、潘虹建

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余姚市第二人民医院 麻醉科,浙江 余姚 315400

腹部 麻醉苏醒护理 全麻苏醒期 手术室

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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