摘要
目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)患者全身麻醉术后复苏时间的影响因素及护理对策。方法:选取2020年3月至2021年3月福建医科大学附属协和医院收治的OSAS患者54例作为研究对象,按照随机数字表法分为对照组和观察组,每组27例。对照组患者采用常规护理,观察组患者采用针对性护理,对比观察2组患者复苏质量,进行单因素和多因素回归分析。结果:1)单因素分析结果显示,OSAS患者全身麻醉术后复苏时间与体质量指数、手术时间、并发症、困难气道、美国麻醉医师协会(ASA)分级有相关性,差异有统计学意义(均P<0.05)。多因素回归分析结果显示:体质量指数、并发症、困难气道是影响OSAS患者全身麻醉术后复苏时间的独立因素。2)干预护理后,观察组患者护理满意度高于对照组,并发症发生率低于对照组,组间比较,差异有统计学意义(均P<0.05);观察组患者白天嗜睡评分和鼻塞评分低于对照组,组间比较,差异有统计学意义(均P<0.05)。结论:OSAS患者全身麻醉术后复苏时间与体质量指数、并发症、困难气道因素有关,通过护理干预,可提高患者护理满意度,减少患者并发症的发生,护理效果显著。
Objective:To explore the influencing factors and nursing countermeasures of resuscitation time after general anesthesia in patients with obstructive sleep apnea syndrome(OSAS).Methods:A total of 54 patients with OSAS admitted to the Union Hospital Affiliated to Fujian Medical University from March 2020 to March 2021 were selected as the study subjects.According to the random number table method,they were divided into the control group and the observation group,with 27 patients in each group.The patients in the control group received routine nursing and the patients in the observation group received targeted nursing.The resuscitation quality of the patients in the two groups was compared and analyzed by single factor and multiple factor regression.Results:1)Univariate analysis showed that the recovery time of OSAS patients after general anesthesia was correlated with body mass index,operation time,complications,difficult airway and American Society of Anesthesiologists(ASA)grade(Ps<0.05).The results of multivariate regression analysis showed that body mass index,complications and difficult airway were independent factors influencing the recovery time of OSAS patients after general anesthesia.2)After the intervention nursing,the nursing satisfaction of the patients in the observation group was higher than that of the control group,and the complication rate was lower than that of the control group.The differences between the groups were statistically significant(Ps<0.05).The daytime sleepiness score and nasal congestion score of the patients in the observation group were lower than those in the control group,and the differences were statistically significant(Ps<0.05).Conclusion:The recovery time of OSAS patients after general anesthesia is related to body mass index,complications and difficult airway factors.Nursing intervention can improve the patient’s nursing satisfaction,reduce the occurrence of complications,and the nursing effect is significant.
作者
黄晓梅
HUANG Xiaomei(Union Hospital Affiliated to Fujian Medical University,Fuzhou 350001,China)
出处
《世界睡眠医学杂志》
2022年第8期1559-1561,共3页
World Journal of Sleep Medicine
关键词
阻塞性睡眠呼吸暂停综合征
全身麻醉
复苏时间
护理对策
Obstructive sleep apnea syndrome
General anesthesia
Recovery time
Nursing countermeasures
