PACU患者深麻醉状态下拔管的效果观察

发布时间：2018-01-07 16:03

本文关键词：PACU患者深麻醉状态下拔管的效果观察　出处：《河北联合大学学报(医学版)》2016年03期 　论文类型：期刊论文

【摘要】：1目的探讨麻醉恢复室(post-anesthesia care unit,PACU)患者深麻醉状态下拔管的效果。2方法选择气管插管全麻术后带管送入PACU患者72例,采用随机数字表法分为观察组和对照组,各36例。观察组手术结束不停用丙泊酚,待自主呼吸恢复、潮气量、每分钟通气量在正常范围,脱氧呼吸5分钟、脉搏血氧饱和度(SPO_2)95%、有吞咽动作,拔管后再停药;对照组则完全停用丙泊酚,自主呼吸恢复、潮气量、每分钟通气量在正常范围、脱氧呼吸5分钟、SPO_295%、有吞咽动作、意识清醒后再拔除气管导管。比较两组患者拔除气管插管前后5分钟的呼吸频率、心率、平均动脉压,评估患者镇静评分(Ramsay sedation scale RSS)和拔管后相关并发症的发生率。3结果观察组拔除气管导管前后5分钟的呼吸频率、心率、平均动脉压较对照组低,镇静评分均较对照组高;观察组患者拔管后相关并发症的发生率较对照组低,差异均有统计学意义(P0.05)。4结论 PACU患者深麻醉状态下拔管,血流动力学稳定,拔管后相关并发症的发生率明显降低,保证了患者顺利渡过麻醉苏醒期。
[Abstract]:1 Objective To investigate the anesthesia recovery room (post-anesthesia care, unit, PACU) with.2 method under the condition of deep anesthesia extubation in selected patients after general anesthesia with endotracheal intubation tube into 72 cases of PACU were randomly divided into observation group and control group, 36 cases in each group. To observe the end of the surgery without stopping propofol. The recovery of spontaneous breathing, tidal volume, minute ventilation volume in the normal range, oxygen breathing for 5 minutes, pulse oxygen saturation (SPO_2) 95%, a swallow withdrawal after extubation; the control group was discontinued propofol, recovery of spontaneous breathing, tidal volume, minute ventilation volume in the normal range, oxygen breathing 5 minutes, SPO_295%, a swallow conscious after extubation. Respiratory rate, 5 minutes of the two groups were compared before and after extubation of heart rate, mean arterial pressure, sedation (Ramsay sedation scale RSS evaluation score) and after extubation Respiratory frequency, rate of.3 results in the observation group before and after extubation 5 minutes of complications related to heart rate, mean arterial pressure is lower than the control group, sedation scores were higher than the control group; the observation group patients after extubation related complication rate is lower than the control group, the differences were statistically significant (P0.05) conclusion PACU.4 patients under deep anesthesia extubation, stable hemodynamics, extubation related complications decreased significantly, ensure the patients survived during the recovery period.

【作者单位】：安徽省芜湖市第二人民医院麻醉科;
【分类号】：R614
【正文快照】： 全身麻醉苏醒期是高风险阶段,气管导管拔管风险性不亚于麻醉诱导期[1]。气管内全麻后拔管期可引起血压剧增、心率增快和心肌耗氧增加等强烈心血管反应[2],这些反应使心脏做功增加,可导致心肌缺血、心律失常,有时甚至可能发生严重的心脑血管意外。为了保持全麻患者拔管期间血流

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