摘要
目的探讨腹腔镜全身麻醉患者采用保温护理联合语言唤醒护理干预的效果。方法选取2020年1月至2022年1月在信阳市中心医院实施腹腔镜的92例全身麻醉患者,按照随机数字表法分成干预组(46例)和对照组(46例),对照组给予常规护理干预,干预组给予保温护理联合语言唤醒护理,统计两组苏醒质量,比较两组患者术前、术中30 min与90 min及术后核心体温,术前及术后60 min认知功能。结果干预组术中30 min、90 min及术后核心体温与术前比较,差异无统计学意义(P>0.05),但对照组核心体温低于干预组,差异有统计学意义(P<0.05);干预组睁眼、呼吸恢复、清醒、气管拔管、苏醒室滞留等各项时间较对照组明显更短,差异有统计学意义(P<0.05);干预组术后简易智能精神状态检查量表(MMSE)评分与术前比较,差异无统计学意义(P>0.05),对照组术后MMSE评分明显降低,且低于干预组,差异有统计学意义(P<0.05)。结论腹腔镜全身麻醉患者给予保温护理联合语言唤醒护理干预,能够减轻对核心体温及认知功能的影响,提高苏醒质量。
Objective To investigate the effect of warm-keeping nursing combined with verbal awakening nursing intervention in patients with laparoscopic general anesthesia.Methods A total of 92 patients with general anesthesia who were underwent laparoscopy in Xinyang Central Hospital from January 2020 to January 2022 were selected,and they were divided into the intervention group(46 cases)and the control group(46 cases)by the random number table method.The control group was given routine nursing intervention,and the intervention group was given heat preservation nursing combined with verbal awakening nursing.The recovery quality of the two groups was counted,and the preoperative,intraoperative 30 and 90 min,postoperative core body temperature,preoperative and postoperative 60 min cognitive function were compared of the two groups.Results In the intervention group,there was no significant difference in core temperature at 30 min,90 min during operation and after operation compared with that before operation(P>0.05),but the core temperature of the control group was lower than that of the intervention group,and the difference was statistically significant(P<0.05);The time of eyes opening,breathing recovery,awakening,tracheal extubation,and recovery room stay in the intervention group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05);There was no significant difference in mini-mental state Examination(MMSE)score between before and after operation in the intervention group(P>0.05).The MMSE score of the control group was significantly lower after operation,and lower than that of the intervention group,and the difference was statistically significant(P<0.05).Conclusion In patients with laparoscopic general anesthesia,warm-keeping nursing combined with verbal awakening nursing intervention can reduce the impact on core body temperature and cognitive function,and improve the quality of awakening.
作者
田方
张秀萍
TIAN Fang;ZHANG Xiuping(Department of Anesthesiology,Xinyang Central Hospital,Xinyang Henan 464000,China)
出处
《临床研究》
2023年第9期177-179,共3页
Clinical Research
关键词
保温护理
语言唤醒护理
腹腔镜
全身麻醉
苏醒质量
warm-keeping nursing
verbal awakening nursing
laparoscopic
general anesthesia
quality of recovery
