摘要
目的探讨麻醉苏醒护理与保温护理联用对全身麻醉患者苏醒指标的影响。方法方便选取该院2018年11月—2020年10月行全身麻醉手术患者共72例,使用随机分组法分为对照组和观察组,每组36例。对照组接受保温护理,研究组接受麻醉苏醒护理与保温护理,对比两组患者的麻醉复苏情况、术中应激反应发生率及血清应激指标。结果研究组寒战、躁动发生率为2.78%、2.78%较对照组25.00%、30.56%低,差异有统计学意义(χ^(2)=7.432、10.000,P<0.05),低体温发生率(5.56%)虽低于对照组(11.11%),但差异无统计学意义(χ^(2)=0.182,P>0.05)。研究组患者的气管拔管时间(24.83±6.58)min、术中完全清醒(45.74±5.38)min、麻醉后监测治疗室(PACU)滞留时间(50.67±6.58)min均低于对照组气管拔管时间(32.45±4.93)min、术中完全清醒(72.48±6.86)min、PACU滞留时间(83.17±9.83)min,差异有统计学意义(t=5.560、18.403、16.484,P<0.05)。手术后,研究组皮质醇(COR)(300.81±8.91)ng/mL、去甲肾上腺素(NE)(240.48±9.85)ng/mL、促肾上腺皮质激素(ACTH)(34.58±8.28)pg/mL、肾上腺激素(AD)(198.72±8.39)ng/L均低于对照组COR(436.83±9.39)ng/mL、NE(298.48±9.37)ng/mL、ACTH(65.58±9.38)pg/mL、AD(208.74±9.37)ng/L,差异有统计学意义(t=63.047、25.597、14.866、4.780,P<0.05)。结论联合运用麻醉苏醒护理、保温护理,能有效地改善全身麻醉患者的苏醒指标,降低术中应激反应,降低患者血清应激指标波动幅度,有利于手术的顺利进行,该护理模式值得推广。
Objective To investigate the effect of the combination of anesthesia recovery nursing and thermal insulation nursing on the recovery index of patients with general anesthesia.Methods Conveniently selected 72 patients underwent general anesthesia surgery in the hospital from November 2018 to October 2020.They were randomly divided into control group and observation group,with 36 cases in each group.The control group received heat preservation care,and the study group received anesthesia resuscitation care and heat preservation care.The anesthesia resuscitation,the incidence of intraoperative stress reaction and serum stress indicators were compared between the two groups.Results The incidence of chills and restlessness in the study group was 2.78% and 2.78%,which was lower than the control group 25.00%and 30.56%,the difference was statistically significant(χ^(2)=7.432,10.000,P<0.05).The incidence of hypothermia was 5.56% lower than the control group was 11.11%,but the data difference was not statistically significant(χ^(2)=0.182,P>0.05).In the study group,the tracheal extubation time(24.83±6.58)min,the intraoperative fully awake(45.74±5.38)min,and the postanesthesia care unit(PACU)residence time(50.67±6.58)min were all lower than the control group of the tracheal extubation time(32.45±4.93)min,intraoperatively fully awake(72.48±6.86)min,and PACU retention time(83.17±9.83)min,the difference was statistically significant(t=5.560,18.403,16.484,P<0.05).After surgery,the study group cortisol(COR)(300.81±8.91)ng/mL,norepinephrine(NE)(240.48±9.85)ng/mL,adreno-cortico-tropic-hormone,(ACTH)(34.58±8.28)pg/mL,adrenaline(AD)(198.72±8.39)ng/L were lower than the control group COR(436.83±9.39)ng/mL,NE(298.48±9.37)ng/mL,ACTH(65.58±9.38)pg/mL,AD(208.74±9.37)ng/L,the difference was statistically significant(t=63.047,25.597,14.866,4.780,P<0.05).Conclusion The combined use of anesthesia care and heat preservation care can effectively improve the recovery indicators of patients under general anesthesia,reduce the intraoperative stress response,and reduce the fluctuation of the patients'serum stress indicators,which is beneficial to the smooth progress of the operation.This nursing model is worthy of promotion.
作者
刘裕燕
蔡羽中
陈丽华
LIU Yuyan;CAI Yuzhong;CHEN Lihua(Department of Surgical Anesthesiology,Maoming Hospital of Traditional Chinese Medicine,Maoming,Guangdong Province,525000 China)
出处
《中外医疗》
2021年第19期118-120,124,共4页
China & Foreign Medical Treatment
关键词
麻醉苏醒护理
保温护理
全身麻醉患者
苏醒指标
Anesthesia recovery care
Thermal insulation care
General anesthesia patients
Recovery indicators
作者简介
刘裕燕(1981-),女,大专,主管护师,研究方向为护理。
