针对性护理在外科手术全麻患者中的应用效果
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摘要
目的探讨针对性护理对外科手术全麻患者麻醉苏醒期躁动(EA)程度、心率及血压的影响。方法选取2015年1月～2016年10月在我院行外科手术并进行全麻的96例患者作为研究对象,按其护理方法将其分为对照组和观察组,每组各48例。对照组给予常规护理,观察组给予针对性护理。比较两组EA程度、心率、血压的情况。结果观察组EA总发生率为29.17%,明显低于对照组,差异有统计学意义(P<0.05)。观察组苏醒期心率、舒张压和收缩压均明显低于对照组,差异有统计学意义(P<0.05)。结论外科手术全麻患者苏醒期应用针对性护理可有效减轻EA程度,有利于平稳心率及血压,值得临床推广应用。
Objective To explore the effect of targeted nursing on restlessness, heart rate and blood pressure during anesthesia recovery period in patients undergoing general anesthesia. Methods A total of 96 patients who underwent surgery and general anesthesia in our hospital from January 2015 to October 2016 were selected as the research subjects. According to their nursing methods, they were divided into the control group and the observation group, 48 cases in each group. The control group was given routine nursing, while the observation group was given targeted nursing.The degree of restlessness, heart rate and blood pressure during anesthesia recovery between the two groups were compared. Results The total incidence of restlessness in the observation group was 29.17%, which was significantly lower than that in the control group(P<0.05). The heart rate, diastolic blood pressure and systolic blood pressure in the observation group were significantly lower than those in the control group at the recovery stage, the differences were statistically significant(P<0.05). Conclusion The application of targeted nursing in the recovery period of general anesthesia patients can effectively reduce the agitation level in the anesthesia period, which is beneficial to the stable heart rate and blood pressure, which is worthy of clinical application.
Objective To explore the effect of targeted nursing on restlessness, heart rate and blood pressure during anesthesia recovery period in patients undergoing general anesthesia. Methods A total of 96 patients who underwent surgery and general anesthesia in our hospital from January 2015 to October 2016 were selected as the research subjects. According to their nursing methods, they were divided into the control group and the observation group, 48 cases in each group. The control group was given routine nursing, while the observation group was given targeted nursing.The degree of restlessness, heart rate and blood pressure during anesthesia recovery between the two groups were compared. Results The total incidence of restlessness in the observation group was 29.17%, which was significantly lower than that in the control group(P<0.05). The heart rate, diastolic blood pressure and systolic blood pressure in the observation group were significantly lower than those in the control group at the recovery stage, the differences were statistically significant(P<0.05). Conclusion The application of targeted nursing in the recovery period of general anesthesia patients can effectively reduce the agitation level in the anesthesia period, which is beneficial to the stable heart rate and blood pressure, which is worthy of clinical application.
引文
[1]胡春阳,芦相玉,陈猛,等.全身麻醉患者苏醒期躁动的护理[J].牡丹江医学院学报,2014,35(2):122-123.
[2]郭瑞娟,陈志惠,刘洁,等.手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动及血压、心率的影响[J].检验医学与临床,2018,5(3):399-401.
[3]刘德敏,刘红.手术室护理干预对食管癌根治术患者麻醉苏醒期躁动及留置尿管耐受度的影响[J].河北医学,2016,22(8):1361-1364.
[4]赖江萍.小儿全身麻醉苏醒期躁动的原因分析及护理对策[J].全科护理,2014,18(18):1654-1655.
[5]苏振丽,潘华,刘玉萍.全麻苏醒期患者躁动的临床观察与护理[J].中国实用神经疾病杂志,2015,18(20):141-142.
[6]凌笑琼,吴秀红,陈东兰,等.个体化术前护理访视对妇科腹腔镜患者全麻苏醒期躁动的影响[J].赣南医学院学报,2017,37(1):119-121.
[7]Kavalci G,Ethemoglu FB,Durukan P,et al.Comparison of the effects of dexmedetomidine and remiphentanyl on emergence agitation after sevoflurane anesthesia in adults undergoing septoplasty operation:a randomized double-blind trial[J].Eur Rev Med Pharmacol Sci,2013,17(22):3019-3023.
[8]贾蕊.全麻患者苏醒期躁动的相关因素及护理[J].河南医学高等专科学校学报,2017,29(6):571-572.
[9]南宁,郗春梅,张大志.细节护理在腹部手术患者全麻苏醒期的临床应用效果评价[J].海南医学,2015,26(13):2019-2021.
[10]支慧,桑田,李浩,等.护理干预联合右美托咪定对小儿气管内麻醉苏醒期躁动的影响[J].护理实践与研究,2017,14(24):113-114.
[11]陶宗蓉,陶莲德,陈正琼.针对性护理对肿瘤患者手术麻醉苏醒期躁动程度和心率及血压的影响[J].中国肿瘤临床与康复,2018,25(4):505-508.
[12]芮祖琴,陈尚华,高学兰.全麻苏醒期患者躁动原因及护理研究进展[J].临床护理杂志,2013,12(5):70-72.
[13]杨晶,陈亭,卢嘉渝.普外ICU全麻苏醒期患者躁动原因分析及护理对策[J].四川医学,2012,33(7):1319-1320.
[14]朱庆容.胸外科手术患者全麻苏醒期并发症与护理措施分析[J].现代诊断与治疗,2013,24(16):3838-3838.
[15]黄群英.全麻苏醒期患者躁动原因及护理研究进展[J].按摩与康复医学,2015,6(15):135-136.
[2]郭瑞娟,陈志惠,刘洁,等.手术室麻醉苏醒期护理对腹部手术患者全身麻醉苏醒期躁动及血压、心率的影响[J].检验医学与临床,2018,5(3):399-401.
[3]刘德敏,刘红.手术室护理干预对食管癌根治术患者麻醉苏醒期躁动及留置尿管耐受度的影响[J].河北医学,2016,22(8):1361-1364.
[4]赖江萍.小儿全身麻醉苏醒期躁动的原因分析及护理对策[J].全科护理,2014,18(18):1654-1655.
[5]苏振丽,潘华,刘玉萍.全麻苏醒期患者躁动的临床观察与护理[J].中国实用神经疾病杂志,2015,18(20):141-142.
[6]凌笑琼,吴秀红,陈东兰,等.个体化术前护理访视对妇科腹腔镜患者全麻苏醒期躁动的影响[J].赣南医学院学报,2017,37(1):119-121.
[7]Kavalci G,Ethemoglu FB,Durukan P,et al.Comparison of the effects of dexmedetomidine and remiphentanyl on emergence agitation after sevoflurane anesthesia in adults undergoing septoplasty operation:a randomized double-blind trial[J].Eur Rev Med Pharmacol Sci,2013,17(22):3019-3023.
[8]贾蕊.全麻患者苏醒期躁动的相关因素及护理[J].河南医学高等专科学校学报,2017,29(6):571-572.
[9]南宁,郗春梅,张大志.细节护理在腹部手术患者全麻苏醒期的临床应用效果评价[J].海南医学,2015,26(13):2019-2021.
[10]支慧,桑田,李浩,等.护理干预联合右美托咪定对小儿气管内麻醉苏醒期躁动的影响[J].护理实践与研究,2017,14(24):113-114.
[11]陶宗蓉,陶莲德,陈正琼.针对性护理对肿瘤患者手术麻醉苏醒期躁动程度和心率及血压的影响[J].中国肿瘤临床与康复,2018,25(4):505-508.
[12]芮祖琴,陈尚华,高学兰.全麻苏醒期患者躁动原因及护理研究进展[J].临床护理杂志,2013,12(5):70-72.
[13]杨晶,陈亭,卢嘉渝.普外ICU全麻苏醒期患者躁动原因分析及护理对策[J].四川医学,2012,33(7):1319-1320.
[14]朱庆容.胸外科手术患者全麻苏醒期并发症与护理措施分析[J].现代诊断与治疗,2013,24(16):3838-3838.
[15]黄群英.全麻苏醒期患者躁动原因及护理研究进展[J].按摩与康复医学,2015,6(15):135-136.