摘要
目的探讨侧卧位在小儿全麻下扁桃体/腺样体切除术后苏醒期的应用效果。方法方便选取2019年6—12月于该院择期行扁桃体/腺样体等离子切除术的患儿210例,按随机数字表法分为两组,各105例。对照组采用常规护理,观察组在对照组基础上给予患儿侧卧位。比较两组呼吸道并发症发生情况、苏醒期躁动及护理满意度。结果观察组呼吸道并发症发生率3.81%,低于对照组的24.76%,差异有统计学意义(χ^2=18.822,P<0.05)。观察组患儿躁动的发生率15.24%,低于对照组的26.67%,差异有统计学意义(χ^2=4.140,P=0.042)。观察组术后躁动评分(2.35±0.83)分,低于对照组的(3.74±0.95)分,差异有统计学意义(t=11.291,P<0.05)。观察组护理满意度为99.05%,高于对照组的92.38%,差异有统计学意义(χ^2=4.179,P=0.041)。结论侧卧位能有效降低小儿全麻下扁桃体/腺样体切除术后苏醒期呼吸道并发症和躁动发生率,提升患儿家属的护理满意度。
Objective To investigate the effect of lateral position in the recovery period after tonsill/adenoidectomy in children under general anesthesia.Methods A total of 210 children with elective tonsillectomy/adenoidectomy in the hospital from June to December 2019 were convenient selected and divided into two groups according to the random number table method,with 105 cases in each group.The control group was given routine nursing care,and the observation group was given a lateral position on the basis of the control group.The occurrence of respiratory complications,restlessness during recovery and nursing satisfaction were compared between the two groups.Results The incidence of respiratory complications in the observation group was 3.81%,which was lower than 24.76%in the control group.The difference was statistically significant(χ^2=18.822,P<0.05).The incidence of restlessness in the observation group was 15.24%,which was lower than the 26.67%in the control group.The difference was statistically significant(χ^2=4.140,P=0.042).The postoperative restlessness score of the observation group was(2.35±0.83)points,which was lower than that of the control group(3.74±0.95)points,and the difference was statistically significant(t=11.291,P<0.05).The nursing satisfaction degree of the observation group was 99.05%,which was higher than 92.38%of the control group,and the difference was statistically significant(χ^2=4.179,P=0.041).Conclusion The lateral position can effectively reduce the incidence of respiratory complications and restlessness during the recovery period after tonsillectomy/adenoidectomy in children under general anesthesia,and improve the nursing satisfaction of the children's family members.It is worthy of clinical application.
作者
唐珊英
吕玲玲
TANG Shan-ying;LYU Ling-ling(Department of Anesthesiology,Quanzhou Maternal and Child Health Care and Children's Hospital,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2020年第35期134-136,共3页
China & Foreign Medical Treatment
关键词
侧卧位
小儿全麻
扁桃体/腺样体切除
苏醒期
躁动
并发症
护理满意度
Lateral position
General anesthesia in children
Tonsil/adenoid resection
Recovery period
Restlessness
Complications
Nursing satisfaction
