摘要
目的:探讨外科患儿术后在麻醉复苏室进行监测与护理的必要性与可行性,为临床麻醉护理实施提供依据。方法:选取我院外科病区2014年1月-2016年12月间,年龄3~13岁外科患儿376例,均于术后送入PACU监护,记录术野敷料渗血情况、心率、呼吸、血压、血氧饱和度、意识、精神状态以及与医务人员的配合程度。结果:本组376例患儿,均在PACU内经专职麻醉医师及麻醉护士进行麻醉复苏。所有患儿离开PACU前,其Stewards评分均≥4分,均由手术医生接回普通病房。其中,有23例患儿在PACU停留期间出现了全身麻醉后并发症(术后低氧血症1例,呕吐5例,苏醒延迟1例,低体温16例)。所有患儿均得到了及时处理,并安返病房。结论:外科患儿全身麻醉术后于PACU内进行监测和护理,有利于预防全麻术后并发症的发生。在PACU内停留,能够缓解患儿的紧张程度,有利于患儿安全的渡过麻醉恢复期。
Objective： To study the necessity and possibility of monitoring and nursing children after plastic surgery, in order to provide the evidence for clinical nursing practice. Methods： 376 children treated in our hospital from January 2014 to December 2016,aged 3-13 after plastic surgery were monitored and nursed in PACU. The hemorrhage, heart rate, inspiration, blood-pressure, blood oxygen saturation, consciousness and cooparative degree with doctors were monitored. Results： All children after general anesthesia were monitored by doctors and nurses worked in PACU. All patients were above 4 degree with Stewards before they left PACU to ward. 23 of those patients had complications after general anesthesia（1 case of hypoxemia, 5 cases of vomiting, 2 cases of delay recovery and 16 of hypothemia）. All patients were received proper therapy timely and sent back to ward safely. Conclusion： The monitoring and nursing of children after plastic surgery in PACU could prevent the complication, relieve their anxiety, and pass the recovery period of general anesthesia smoothly and safely.
出处
《中医临床研究》
2017年第24期145-147,共3页
Clinical Journal Of Chinese Medicine
关键词
患儿
外科术后
麻醉复苏室
监测与护理
Children
Post-plastic surgery
Postanethesia care unit
Monitoring and nursing
