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多感官唤醒方案在全身麻醉胸科手术患者中的应用 被引量:16

Application of a multi-sensory wake-up program to patients undergoing thoracic surgery under general anesthesia
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摘要 目的探讨多感官唤醒方案在全身麻醉胸科手术患者中的应用效果。方法将2021年1~8月的胸科手术患者按住院时间分为对照组与干预组各51例,对照组采用传统语音唤醒方案,干预组采用多感官唤醒方案,比较两组自主呼吸恢复时间、苏醒室停留时间,咽喉痛、躁动发生程度以及平均动脉压波动发生率。结果干预组自主呼吸恢复时间、苏醒室停留时间显著短于对照组(均P<0.05);干预组咽痛、躁动发生程度显著低于对照组,平均动脉压波动发生率显著低于对照组(均P<0.05)。结论多感官唤醒方案扩展了原有单一感官的唤醒模式,能缩短胸科手术患者的苏醒时间及苏醒室停留时间,提高苏醒质量。 Objective To explore the effect of a multi-sensory wake-up program in general anesthesia patients undergoing thoracic surgery.Methods The patients undergoing thoracic surgery from January to August 2021 were divided into 2 groups of 51 cases.The control group received traditional voice wake-up,while the intervention group was subjected to a multi-sensory wake-up program.The recovery time of spontaneous breathing,the length of stay in the recovery room,the degree of sore throat and agitation,and the incidence rate of mean arterial pressure(MAP)fluctuations were compared between the two groups.Results The intervention group had shorter recovery time of spontaneous breathing and length of stay in the recovery room,milder degree of sore throat and agitation,and lower incidence rate of MAP fluctuations,than the control group(all P<0.05).Conclusion The multi-sensory wake-up program,which extends beyond the original single sensory wake-up mode,shortens the wake-up time of patients after thoracic surgery,reduce the length of stay in the recovery room,and improve the quality of recovery.
作者 李文奇 余遥 刘尚昆 王双顺 刘秋丽 Li Wenqi;Yu Yao;Liu Shangkun;Wang Shuangshun;Liu Qiuli(Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430030,China)
出处 《护理学杂志》 CSCD 北大核心 2022年第20期54-56,80,共4页 Journal of Nursing Science
基金 华中科技大学同济医学院附属同济医院基金资助项目(2019D18)。
关键词 胸科手术 全身麻醉 苏醒室 语音唤醒 多感官唤醒 自主呼吸 咽痛 躁动 thoracic surgery general anesthesia recovery room voice wake-up multi-sensory wake-up spontaneous breathing sore throat agitation
作者简介 李文奇,男,硕士,主管护师;通信作者:余遥,363251123@qq.com。
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