摘要
目的:探讨麻醉深度监测结合手术室优质护理对全麻胸科手术患者术中知晓及术后躁动程度的影响。方法:选取2017年10月-2018年10月于本院行全麻胸科手术并给予手术室常规护理的42例患者作为对照组,选取2018年11月-2019年11月于本院行全麻胸科手术并给予手术室优质护理的42例患者作为观察组。比较两组术中知晓情况、苏醒期相关指标及拔管后躁动评分。结果:观察组未发生术中知晓,对照组术中知晓发生率为4.76%,两组比较差异无统计学意义(P>0.05);观察组自主呼吸恢复时间、睁眼时间、完成指令时间、拔管时间均短于对照组(P<0.05);观察组拔管后5、10、30 min躁动评分均低于对照组(P<0.05)。结论:麻醉深度监测结合手术室优质护理应用于全麻胸科手术患者有助于减少术中知晓发生,减轻术后躁动,缩短患者术后复苏时间,具有推广应用价值。
Objective:To investigate the effects of anesthesia depth monitoring combined with high-quality nursing in the operating room on intraoperative awareness and postoperative restlessness in patients undergoing general anesthesia chest surgery.Method:From October 2017 to October 2018,42 patients underwent general anesthesia chest surgery and given routine nursing care in the operating room in our hospital were selected as the control group,from November 2018 to November 2019,42 patients underwent general anesthesia chest surgery and given high-quality nursing care in the operating room in our hospital were selected as the observation group.The intraoperative awareness,waking period related indicators and the score of agitation after extubation were compared between the two groups.Result:There was no intraoperative awareness in the observation group,while the incidence of intraoperative awareness in the control group was 4.76%,there was no statistically significant difference between the two groups(P>0.05).The recovery time of spontaneous breathing,eye opening time,instruction completion time and extubation time in the observation group were lower than those in the control group(P<0.05).The agitation scores of the observation group at 5,10 and 30 min after extubation were lower than those of the control group(P<0.05).Conclusion:The application of anesthesia depth monitoring combined with high-quality nursing in the operating room in patients undergoing general anesthesia chest surgery can help reduce intraoperative awareness,reduce postoperative agitation,and shorten postoperative resuscitation time,it has the value of popularization and application.
作者
郑青玉
方亮
程鹃
邹陈
王小建
裴梦婷
ZHENG Qingyu;FANG Liang;CHENG Juan;ZOU Chen;WANG Xiaojian;PEI Mengting(The Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)
出处
《中国医学创新》
CAS
2020年第30期109-112,共4页
Medical Innovation of China
基金
江西省卫生计生委科技计划课题(20195283)
江西省中医药管理局科技计划项目(2019A298)。
关键词
全麻胸科手术
麻醉深度监测
手术室
优质护理
术中知晓
躁动
General anesthesia chest surgery
Anesthesia depth monitoring
Operating room
Highquality nursing
Intraoperative awareness
Agitation
