妇科全麻手术患者苏醒延迟影响因素分析及护理对策

Analysis of the influence factors of the delayed recovery of patients under general anesthesia and its nursing strategy

目的:分析全麻妇科手术患者复苏室苏醒延迟的影响因素。方法:回顾性分析2022年6月-2023年6月在本院行全麻妇科手术患者220例临床资料,记录患者复苏室苏醒时间,将存在苏醒延迟患者纳入观察组(n=56),反之则纳入对照组(n=164),采用单因素和多因素logistic回归分析患者苏醒延迟的相关影响因素,总结护理对策。结果:220例中苏醒延迟发生率为25.5%。观察组苏醒时间(161.73±11.27min)长于对照组(54.39±10.23min),年龄≥60岁、贫血、手术时间>2 h、术中平均体温<36.5℃及追加麻醉药物患者占比均高于对照组(P<0.05)。多因素回归分析显示,手术时间>2 h、术中平均体温<36.5℃及术中追加麻醉药物均为导致患者苏醒延迟的高危因素(均P<0.05)。结论:手术时间>2 h、术中平均体温<36.5℃及术中追加麻醉药物均为导致全麻妇科手术患者苏醒延迟的危险因素,应对此类患者做好术前预防,根据患者复苏室苏醒情况积极采用对症处理措施,以降低患者全麻术后苏醒延迟发生率。

Objective:To analyze the influencing factors of the delayed recovery of patients in the resuscitation room of gynecological surgery under general anesthesia.Methods:The clinical data of 220 patients undergoing gynecological surgery under general anesthesia in the hospital from June 2022 to June 2023 were analyzed retrospectively.The recovery time of these patients in the resuscitation room of gynecological surgery was recorded,and 56 patients with the delayed recovery were included in the observation group and 164 patients without the delayed recovery were included in the control group.Univariate and multivariate logistic regression analysis were used to analyze the related influencing factors of the patients with the delayed recovery,and their nursing countermeasures were summarized.Results:The recovery time(161.73±11.27 min)of the patients in the observation group was significantly longer than that(54.39±10.23 min)of the patients in the control group.The proportions of the patients with the age≥60 years old,with the anemia,with the operation time>2h,with the intraoperative average temperature<36.5℃or with the additional anesthetic drugs used of the patients in the observation group were significantly higher than those of the patients in the control group(P<0.05).Multivariate regression analysis showed that the operation time>2h,the average intraoperative temperature<36.5℃and the additional intraoperative anesthetic drugs used of the patients were the risk factors of their delayed recovery(all P<0.05).Conclusion:The operation time>2h,the average intraoperative temperature<36.5℃and the additional intraoperative anesthetic drugs used of the patients are the risk factors of their delayed recovery,so the preoperative prevention should be conducted for these patients.The symptomatic treatment measures should be actively adopted according to the recovery situation of the patients in the recovery room to reduce the incidence of their delayed recovery after general anesthesia.