摘要
目的分析针对性护理干预对小儿七氟醚麻醉苏醒期间躁动的影响。方法纳入2019年2月至2021年2月南通市妇幼保健院收治的100例七氟醚麻醉患儿,根据患儿入院诊治顺序分为对照组与观察组,每组各50例。对照组用常规护理,观察组在对照组基础上予以针对性护理,比较两组的躁动发生情况、血流动力学和并发症发生情况。结果观察组的Ramsay镇静评分为(2.72±0.56)分,Riker镇静-躁动评分为(3.36±0.32)分,并发症总发生率为6.00%,低于对照组的(4.18±0.44)分、(5.18±0.54)分和22.00%,差异均有统计学意义(P<0.05)。两组麻醉前和麻醉10 min的平均动脉压和心率比较,差异无统计学意义(P>0.05);观察组麻醉苏醒期和拔喉罩后10 min的平均动脉压和心率水平低于对照组,差异有统计学意义(P<0.05);对照组麻醉苏醒期和拔喉罩后10 min的平均动脉压和心率高于麻醉前,差异有统计学意义(P<0.05);观察组麻醉前后血流动力学比较,差异无统计学意义(P>0.05)。结论针对性护理可减少小儿七氟醚麻醉苏醒期间躁动,维持血流动力学稳定性,并发症少,有推广价值。
Objective To analyze the effect of targeted nursing intervention on agitation in children during Sevoflurane anesthesia recovery.Methods A total of 100 pediatric patients with Sevoflurane anesthesia admitted to Nantong Maternal and Child Health Care Hospital from February 2019 to February 2021 were enrolled and divided into the control group and the observation group according to the order of admission diagnosis and treatment,with 50 cases in each group.The control group received routine nursing,while the observation group received targeted nursing on the basis of the control group.The occurrence of agitation,hemodynamics and complications were compared between the two groups.Results The Ramsay sedation score in the observation group was(2.72±0.56)points,the Riker sedationagitation score was(3.36±0.32)points,and the total incidence rate of complications was 6.00%,which were lower than those in the control group([4.18±0.44]and[5.18±0.54]points and 22.00%),the differences were statistically significant(P<0.05).There were no significant differences in the mean arterial pressure and heart rate between the two groups before anesthesia and 10 min after anesthesia(P>0.05),while the mean arterial pressure and heart rate in the observation group were lower than those in the control group during the recovery period of anesthesia and 10 min after laryngeal mask removal(P<0.05).The mean arterial pressure and heart rate in the control group were higher than those before anesthesia in the recovery period and 10 min after laryngeal mask removal(P<0.05).There was no significant difference in hemodynamics before and after anesthesia in the observation group(P>0.05).Conclusion Targeted nursing can reduce agitation during recovery from Sevoflurane anesthesia in children,maintain hemodynamic stability,and have fewer complications,which has the value of promotion.
作者
吴小云
WU Xiaoyun(Operating Room,Nantong Maternal and Child Health Care Hospital,Jiangsu Province,Nantong 226018,China)
出处
《妇儿健康导刊》
2022年第12期158-160,176,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
针对性护理
七氟醚
苏醒期躁动
血流动力学
并发症
Targeted nursing
Sevoflurane
Agitation during anesthesia recovery
Hemodynamics
Complications
