冠状动脉旁路移植术后躁动的原因分析及预防对策

The analysis of the reasons for restlessness after coronary artery bypass transplant operations and precautions for it

目的分析冠状动脉旁路移植术后患者躁动的相关因素。方法采用自制式“影响冠状动脉旁路移植术后躁动的因素调查表”,对86例冠状动脉旁路移植患者术后24h、48h、72h的躁动原因进行调查分析。结果气管插管刺激、痰液堵塞、术中使用氯胺酮不当、低氧血症、体位不适、疼痛、各种导管刺激、心理因素等是引起冠状动脉旁路移植术后患者躁动的主要原因。结论做好术前心理护理,术中适当使用氯胺酮,术后及时吸痰,及早拔除气管插管,维持有效循环血量,充分给氧,加强病程观察及预见性护理干预是减少冠状动脉旁路移植术后患者躁动的重要措施。

Objective To analyze the relevant factors contributing to patients＇restlessness after coronary artery bypass transplant operations. Methods To conduct a survey with a home - made questionnaire of Questionnaire about factors contributing to restlessness after coronary artery bypass transplant operations＇ and made an analysis on the reasons for the restlessness of 86 patients 24h, 48h and 72h after coronary artery bypass transplant operations. Results Stimulation from windpipe intubation, sputum blocking, improper use of ketamine during the operations, hypoxuemia, uncomfortable of posture, pains, stimulations by various ducts and psychological problems were the main reasons causing the restlessness. Conclusion Psychological caring before the operations, proper use of ketamine during the operations, sucking of septum in time and taking away the ducts quickly after the operations, maintaining proper circulation of blood, sufficient supply of oxygen, more observation of the disease course and predictive caring intervention are the important measures to reduce the restlessness.