PACU全麻术后不同年龄组患者循环呼吸系统并发症分析及处理

Analysis of circulatory and respiratory complications of the patients with different age groups after general anesthesia in PACU and treatment

摘要：目的对麻醉恢复室（PACU）全麻术后不同年龄组患者循环、呼吸系统并发症进行分析，并探讨其相应的护理对策。方法回顾2009~2012年入该院PACU的患者3256例，根据年龄不同分为3组，对不同年龄组循环和呼吸系统并发症进行分析。结果循环系统并发症发生率为14．3％（其中高血压占57．8％．心动过缓占17．8％）；呼吸系统并发症发生率为5．3％（其中低氧血症占613％）；老年组循环、呼吸系统并发症的发生率显著高于其他年龄组（P〈0．05）。结论不同年龄循环呼吸系统并发症分布不同，应根据不同年龄特点分别采取不同的处理措施。

[ Objective ] To analyze circulation and respiratory complications of the patients with different age groups after general anesthesia in PACU, and explore the nursing strategy. [ Methods ] A retrospective analysis of 3 256 cases from 2009 to 2012 in PACU of our hospital was carried out ,the patients were divided into three groups according to different ages, and the complications of the circulatory and respiratory systems of different age groups were analyzed. [Results] The rate of circulatory complications was 14.3% （hypertension, 57.8%; bradycardia, 17.8%）. The rate of respiratory complication was 5.3% （hypoxemia 61.3%）. The incidence of circulatory and respira- tory complications of the older group was significantly higher than other age groups（P 〈0.05）. [ Conclusion ] The cir- culatory and respiratory complications was different in different age cycle, care measures should be taken according to the characteristics of different age, respectively.