摘要
目的探讨麻醉苏醒护理干预在全麻手术中的临床应用效果。方法选取2016年1月至2017年12月我院收治的100例全麻手术患者,随机分为对照组和研究组各50例。对照组予以常规护理干预,研究组予以麻醉苏醒护理干预。比较两组患者干预前后的血压、心率,拔管质量评分,术后即刻及术后12 h的BCS评分和VAS评分以及苏醒期躁动发生率。结果干预前,两组患者的血压和心率比较无统计学差异(P>0.05);干预后,两组患者的血压和心率均显著下降,且研究组的血压和心率均明显低于对照组(P均<0.05)。研究组的拔管质量评分显著低于对照组(P <0.05)。研究组术后即刻及术后12 h的BCS评分显著高于对照组(P <0.05), VAS评分显著低于对照组(P <0.05)。研究组的苏醒期躁动发生率显著低于对照组(P <0.05)。结论麻醉苏醒护理干预应用于全麻手术中可显著缓解患者的疼痛程度,改善血流动力学水平,提高舒适度,降低苏醒期躁动发生率。
Objective To explore the clinical application effect of anesthesia recovery nursing intervention in general anesthesia operation. Methods 100 cases of patients with general anesthesia operation admitted to our hospital from January 2016 to December 2017 were selected and randomly divided into control group and study group, with 50 cases in each group. The control group received routine nursing intervention, while the study group received anesthesia recovery nursing intervention. The blood pressure and heart rate before and after intervention, extubation quality score, BCS scores and VAS scores immediately after operation and 12 h after operation, and incidence of agitation during the recovery period were compared between the two groups. Results Before intervention, no statistical difference was found in the blood pressure and heart rate between the two groups（P 0.05）. After intervention, the blood pressure and heart rate of both groups decreased significantly, and the blood pressure and heart rate of the study group were significantly lower than those of the control group（all P 0.05）. The extubation quality score of the study group was significantly lower than that of the control group（P 0.05）. The BCS scores immediately after operation and 12 h after operation of the study group were significantly higher than those of the control group（P 0.05）, and the VAS scores were significantly lower than those of the control group（P 0.05）. The incidence of agitation during the recovery period of the study group was significantly lower than that of the control group（P 0.05）. Conclusions Anesthesia recovery nursing intervention in the application of general anesthesia operation can significantly relieve patients＇ pain degree, improve the hemodynamic level, improve the comfort degree and reduce the incidence of agitation during the recovery period.
作者
陈碧茹
詹惠敏
CHEN Biru;ZHAN Huimin(Operation Room,Pengpai Memorial Hospital of Heifeng County,Shanwei 516400,China)
出处
《临床医学工程》
2018年第9期1239-1240,共2页
Clinical Medicine & Engineering
关键词
麻醉苏醒护理干预
全麻手术
血流动力学
躁动
Anesthesia recovery nursing intervention
General anesthesia operation
Hemodynamics
Agitation
