摘要
目的观察静脉麻醉在门诊口腔手术中应用（无痛牙科）的安全性,探讨相关的护理措施。方法将60例行异丙酚静脉麻醉的患者随机分为靶控输注（TCI）组和手控输注（MAN）组,每组30例,严密观察患者生命体征、不同时间用药量的比较（给药前、给药后2min、5min、10min）及术毕的血压、心率、氧饱和度及镇静深度。结果患者意识消失所需要的时间无明显差别,MAN组在术中的燥动的发生率明显高于TCI组（P〈0.01）,MAN组的MAP及HR在手术中明显波动。6例患者术中血氧饱和度、动脉血压、心率一过性下降（P〈0.01）,但经严密的观察与及时处理,手术结束后上述指标很快恢复至正常范围,所有病例均顺利完成手术。结论TCI组与MAN组相比,诱导迅速、苏醒快。麻醉维持更加平稳,静脉麻醉应用于门诊口腔拔除阻生牙效果好、风险小,护理的配合对顺利安全完成手术有重要意义。
Objective To observe the safety of intravenous anesthesia in outpatients oral surgery and explore the nursing care during anesthesia.Methods 60 patients undergoing protocol intravenous anesthesia were randomly divided into two groups：the target-control infusion（TCI） group and the manual controlled infusion（MAN）.Carefully perioperation nursing care including preoperative preparation,psychological education and postoperative observation,reasonable guidance was performed. The primary vital signs including heart rate,blood pressure,blood oxygen saturation at all stages and the depth of sedation and drug consumption at before administration and 2 min,5 min,10 min after intravenous administration were recorded. All these data of two groups were studied comparatively.Results In painless oral surgery,patients suffered little agony and complication.Because intravenous anesthesia released anxiety,fearful sense and pain of patients and made them sleep in the course of treatment. Some patients’blood oxygen saturation,blood pressure,heart rate decreased in short period（P〈0.01）,and recovered after prompt treatment and strict watch over the patients：All patients accepted successful operation.Conclusion Intravenous anesthesia is effective and safe to outpatients oral surgery and extraction of impacted tooth.Nursing care is indispensable to successful performance of operation.
出处
《国际护理学杂志》
2007年第9期914-916,共3页
international journal of nursing
关键词
口腔手术
异丙酚
麻醉
护理
Oral surgery
Protocol
Intravenous anesthesia
Nursing care
