全麻术后患者麻醉恢复期并发症临床评估及护理

Clinical evaluation on the complications of the patients in the recovery period after surgery under general anesthesia

目的:探讨全麻术后患者麻醉恢复期并发症的临床评估及护理对策。方法:对2007年1月～2010年10月于本院进行治疗的456例全麻术后麻醉恢复期出现并发症患者的临床资料及护理资料进行分析及研究。结果:经研究比较发现,并发症的种类以消化系统、循环系统、呼吸系统及神经系统为主,其中择期手术患者并发症发生率低于急诊手术,14～50岁患者的发生率低于14岁以下及50岁以上者,ASA分级越高的患者发生率越高,手术时间2 h以下者发生率低于2 h以上者,经比较差异有统计学意义(P<0.05)。同时根据患者的并发症发生情况给予正确、及时的护理,患者均好转。结论:全麻术后患者麻醉恢复期并发症与多种因素有关,经对症治疗护理后可很快好转。

Objective：To investigate the clinical evaluation on the complications of the patients in the recovery period after surgery under general anesthesia and countermeasure of nursing care.Methods：The clinical and nursing data of 456 patients were analyzed and studied,and all the patients were admitted and treated in our hospital from January 2007 ~ October 2010.Results：The study showed the types of complications clinically manifested those of digestive system,circulatory system,respiratory system and nervous system.The incidence of complications in the patients with elective surgery was lower than those with emergency surgery.The incidence in the patients at the age of 14 to 50 years was lower than those patients below 14 years old and over 50 years old.The higher the ASA grade was,the higher the incidence of complications was;the incidence in the patients with the surgery less than 2 hours was lower than those over 2 hours（P0.05）.The patients were improved after proper and timely nursing care.Conclusion：The complications of the patients in the recovery period after surgery under general anesthesia are related to a variety of factors and the symptomatic treatment and nursing care can rapidly promote their recovery.