中老年患者行肝叶切除后麻醉恢复期躁动的临床护理

Clinical nursing of agitation in anesthesia recovery period in elderly patients after hepalobectomy

目的:分析对全麻行肝叶切除术的中老年患者,如何开展有效的护理,以减少麻醉恢复期躁动情况.方法:诸暨市中心医院从2012-06开始,针对于麻醉恢复期躁动,施行了针对性的护理.选取2011-05/2012-05于诸暨市中心医院开展肝叶切除术的81例中老年患者为对照组;选取2012-06/2013-06于诸暨市中心医院开展肝叶切除术的79例中老年患者为研究组.对两组患者行Riker镇静-躁动分级,观察两组患者躁动的比例,以评价针对性护理的效果.结果:观察组麻醉恢复期躁动总数为12例、R i k e r 6级为3例,明显低于对照组对应的28例和15例的数据,差异具有统计学意义(P<0.05).结论:诸暨市中心医院采取的针对性护理措施能够有效降低患者出现麻醉恢复期躁动的比例,值得借鉴.

AIM： To develop effective nursing measures for agitation in anesthesia recovery period in elderly patients after hepalobectomy. METHODS： Eighty-one elderly patients who underwent hepalobectomy at our hospital from May 2011 to 2012 were included in a control group, and 79 elderly patients who underwent hepalobectomy at our hospital from June 2012 to June 2013 were included in an observation group. The control group received routine care, and the observation group was given targeted nursing. The Riker sedation-agitation scale（SAS） was used to grade the agitation in the two groups, in order to evaluate the effect of targeted nursing. RESULTS： The observation group had a total of 12 cases of agitation and 3 cases of SAS grade 6 agitation in anesthesia recovery period, significantly lower than the corresponding figures in the control group（28 cases and 15 cases）（P 〈 0.05）. CONCLUSION： Targeted nursing can effectively reduce the proportion of patients with agitation in anesthesia recovery period in elderly patients after hepalobectomy.