手术室预见性护理干预对妇科腹腔镜手术麻醉患者麻醉苏醒期躁动的影响

发布时间：2018-01-03 20:06

本文关键词：手术室预见性护理干预对妇科腹腔镜手术麻醉患者麻醉苏醒期躁动的影响　出处：《现代医学》2016年03期 　论文类型：期刊论文

【摘要】：目的:探讨手术室预见性护理干预对妇科腹腔镜手术麻醉患者麻醉苏醒期躁动的影响。方法:对2012年1月至2013年1月在我院手术室行妇科腹腔镜手术的50例患者,围术期给予常规护理,设为对照组;对2013年2月至2014年2月在我院手术室行妇科腹腔镜手术的50例患者,围术期在常规护理的基础上给予预见性护理干预,设为观察组。比较两组患者静息期、苏醒期血压、心率的变化情况,比较术前、术后24 h两组患者的焦虑测评分值,评价两组患者全麻苏醒期躁动的评分情况,并记录躁动发生率。结果:观察组患者全麻苏醒期的躁动发生率为12.0%,明显低于对照组的30.0%,差异具有统计学意义(χ2=4.88,P0.05)。静息期,两组患者的血压、心率比较差异均无统计学意义(P0.05)。苏醒期,对照组患者的血压、心率较静息期发生明显变化,差异均有统计学意义(P0.05);而观察组患者苏醒期血压、心率与静息期比较差异均无统计学意义(P0.05)。观察组患者术前、术后24 h的焦虑测评分值分别为(66.07±6.51)、(60.91±5.21)分,明显低于对照组(均P0.05)。苏醒时间、拔管时间两组比较差异均无统计学意义(P0.05)。患者术后并发症的总发生率观察组明显低于对照组(18.0%vs 42.0%),差异具有统计学意义(P0.05)。结论:在妇科腹腔镜手术全麻过程中给予预见性护理干预既可有效减少患者全麻苏醒期躁动的发生,又能使患者的血压、心率保持相对平稳,有利于帮助患者舒适、安全地度过全麻恢复期,值得在临床上广泛应用。
[Abstract]:Objective: to explore the effect of prescient nursing intervention in operating room on restlessness during anaesthesia recovery period in gynecological laparoscopic anesthesia patients. From January 2012 to January 2013, 50 patients underwent gynecologic laparoscopic surgery in our hospital. During perioperative period, routine nursing was given, and the control group was set up. From February 2013 to February 2014, 50 patients undergoing gynecologic laparoscopic surgery in our hospital were given predictive nursing intervention on the basis of routine nursing during the perioperative period. To compare the changes of blood pressure and heart rate between the two groups during rest period and recovery period, and to compare the scores of anxiety assessment between the two groups 24 hours before and 24 hours after operation. Results: the rate of restlessness in the observation group was 12.0, which was significantly lower than that in the control group (30.0%). There was no significant difference in blood pressure and heart rate between the two groups during the rest period (蠂 ~ 2 = 4.88) (P < 0.05). There was no significant difference in blood pressure and heart rate between the two groups (P < 0.05). The blood pressure and heart rate of the patients in the control group were significantly different from those in the rest period, and the differences were statistically significant (P 0.05). However, there was no significant difference in blood pressure, heart rate and resting period between the patients in the observation group and the rest period (P 0.05). The scores of anxiety assessment at 24 hours after operation were 66.07 卤6.51 and 60.91 卤5.21, respectively, which were significantly lower than those in the control group (P 0.05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (18.0 vs 42.0). The difference was statistically significant (P 0.05). Conclusion: the prescient nursing intervention during gynecological laparoscopic general anesthesia can effectively reduce the restlessness of patients during general anesthesia and make the blood pressure of patients. The heart rate is relatively stable, which is helpful to help the patients comfortable and safely through the recovery period of general anesthesia. It is worthy of wide application in clinical practice.
【作者单位】：延安大学附属医院;
【分类号】：R472.3
【正文快照】： 围术期麻醉后,由于麻醉药在患者体内存留时间较长,故可对患者的中枢神经系统产生持续的干扰,最终导致患者出现嗜睡、意识模糊或极度定向障碍等,部分患者还会出现挣扎、躁动不安等情况[1-2]。苏醒期躁动引起的肢体无意识乱动如挣扎会导致多种不良事件的发生,如造成伤口裂开、手

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