摘要
目的观察小儿气管插管全身麻醉术后拔管期的综合性护理管理分析。方法前瞻性研究厦门大学附属第一医院麻醉手术科2021年8月至2022年8月收治的100例气管插管全身麻醉术后患儿,采用随机数表法分成两组,每组各50例,其中一组患儿实施常规护理管理为对照组,另一组患儿在对照组基础上联合综合性的拔管期护理管理为研究组。比较两组患儿护理前、拔管期的生命体征及躁动评分,躁动持续的时间与躁动发生情况,统计患儿的并发症发生率及患儿家属对于护理满意度。结果两组患儿护理前的生命体征及躁动评分比较,差异无统计学意义(P>0.05)。经拔管期两组患儿生命体征及躁动评分波动较明显,但研究组波动的范围小于对照组,两组护理前、拔管期及两组组内比较,差异有统计学意义(P<0.05)。研究组患儿躁动持续的时间短于对照组,且躁动的发生率显著低于对照组,差异有统计学意义(P<0.05)。研究组患儿在全身麻醉术后拔管期间并发症总发生率低于对照组,而患儿家属对于护理满意度高于对照组,差异有统计学意义(P<0.05)。结论在小儿气管插管全身麻醉术后拔管期,实施以综合性的护理管理方式,可以显著的平稳患儿的生命体征指标,减轻患儿的躁动,缩短儿躁动持续的时间,减少躁动的发生率,降低拔管期间并发症发生率,提升患儿家属对于护理管理的满意度。
Objective To observe and analyze the comprehensive nursing management during the extubation period after general anesthesia for pediatric tracheal intubation.Methods A prospective analysis was conducted on 100 children admitted to the Department of Anesthesiology and Surgery of the First Affiliated Hospital of Xiamen University from August 2021 to August 2022 after undergoing general anesthesia for tracheal intubation.They were divided into two groups with 50 patients in each group using the random number table method.One group of children received routine nursing management as the control group,while the other group received comprehensive nursing management during the extubation period on the basis of management of the control group as the study group.The vital signs and restlessness scores of two groups of children before nursing and during the extubation period,and the duration and occurrence of restlessness were compared.The incidence of complications in the children and the satisfaction of their families with nursing were calculated.Results There was no statistically significant difference in the vital signs and restlessness scores of the children before receiving nursing between the two groups(P>0.05).During the extubation period,there were significant fluctuations in vital signs and restlessness scores between the two groups of children,but the range of fluctuations in the study group was smaller than that in the control group.There was a statistically significant difference before nursing,during the extubation period,and within the two groups(P<0.05).The duration of restlessness in the study group was shorter than that in the control group,and the incidence of restlessness was significantly lower than that in the control group.The difference between the two groups was statistically significant(P<0.05).The total incidence of complications during the extubation period after general anesthesia surgery in the study group was lower than that in the control group,while the satisfaction of the patient’s family
作者
阮瑜
邱蓓瑄
RUAN Yu;QIU Beixuan(Department of Anesthesiology and Surgery,the First Affiliated Hospital of Xiamen University,Fujian,Xiamen 361000,China)
出处
《中国医药科学》
2023年第15期119-122,共4页
China Medicine And Pharmacy
关键词
小儿患儿
气管插管
全身麻醉
术后拔管期
护理管理
Pediatric patients
Tracheal intubation
General anesthesia
Postoperative extubation period
Nursing management
