护理干预预防老年全身麻醉腹部术后苏醒延迟的效果

Effect of Nursing Intervention on Prevention of Analepsia Delay in Elderly Patients after Abdominal Surgery in General Anesthesia

目的探讨护理干预对60岁以上老年全身麻醉腹部术后预防苏醒延迟的效果。方法将160例60岁以上老年全身麻醉行腹部手术患者随机分为干预组与对照组,每组80例。对照组行常规治疗,每15min观察1次生命体征及血氧饱和度;干预组行常规治疗的同时进行护理干预,对患者采取每15min一次亲情呼唤式护理及Stward苏醒评分,观察术中血气分析值、术中输血、输液、尿量,超过1h意识仍未恢复观察血气分析、血钾钠氯钙、血红蛋白、血糖、中心静脉压;注意保暖,预防低体温等护理措施。结果干预组患者苏醒延迟发生率明显低于对照组(13.75%vs 32.50%,P<0.05)。结论 60岁以上老年全身麻醉腹部术后患者通过护理干预可以减少苏醒延迟的发生。

Objective To investigate the effect of nursing intervention on the prevention of analepsia delay in patients aged 60 years or older after abdominal surgery in general anesthesia.Methods A total of 160 elderly patients who underwent general anesthesia for abdominal surgery were divided into two groups,with 80 patients in each group.The control group received conventional therapy,and vital signs and oxygen saturation were observed every 15 minutes.The intervention group received conventional therapy and nursing intervention with family call（one call every 15 minutes）,and Steward score was measured.Intraoperative arterial blood gas parameters,blood transfusion,fluid infusion and urine output were determined.If the consciousness was not restored after 1 hour,the levels of potassium,sodium,chlorine,calcium,hemoglobin and sugar in blood and central venous pressure were measured.In addition,patients were treated to keep warm for the prevention of low temperature.Results The incidence of analepsia delay in intervention group was significantly lower than that in control group（13.75% vs 37.50%,P0.05）.Conclusion Nursing intervention can reduce the incidence of analepsia delay in elderly patients who underwent general anesthesia for abdominal surgery.