面罩肺活量吸入七氟醚联合临床护理用于小儿上肢骨科手术53例

Mask Vital Capacity Inhalation of Sevoflurane Combined with Clinical Nursing for Treating Children Upper Extremity Orthopedic Operation in 53 Cases

目的探讨面罩肺活量吸入七氟醚联合临床护理用于小儿上肢骨科手术的疗效。方法将拟实施上肢骨科手术的106例患儿,根据家长意愿分为观察组和对照组,各53例。对照组用自主呼吸的潮气量面罩吸入七氟醚,观察组采用面罩肺活量吸入七氟醚。两组患儿均采取针对性的围手术期护理干预。结果手术开始至苏醒时观察组患儿生命体征稳定性优于对照组,麻醉诱导时间、疼痛反射消失时间及停药至患儿清醒时间均显著短于对照组(P<0.05)。与对照组患儿相比,观察组患儿躁动评分未见显著变化[(2.53±0.61)分比(2.49±0.82)分](P>0.05)。观察组患儿不良反应发生率显著低于对照组(P<0.05)。结论面罩肺活量吸入七氟醚用于小儿上肢骨科手术疗效确切、使用安全,配合有针对性的护理干预能提高患儿心理应激阈值并减轻术后烦躁等负面情绪发生,保证手术顺利进行和促进术后患儿康复。

Objective To investigate the effects of mask vital capacity inhalation of sevoflurane in treating children upper extremity or- thopedic operation. Methods 106 cases of children patients that were to receive upper extremity orthopedic operation were divided into the observation group and the control group according to the parents will, 53 cases in each group. The control group received sponta- neous inhalation of sevoflurane, the observation group received mask vital capacity inhalation of sevoflurane. The two groups received the targeted perioperative nursing intervention. Results The stability of vital signs in the observation group from the beginning of operation to children＇s awakening was better than that of the control group, and the anesthesia induction time, pain reflex time and the time from stopping medicine to children＇s awakening in the observation group were significantly shorter than those of the control group（ P 〈 0. 05）. Compared with the control group, the observation group had no significant difference in agitation score [（2.53±0.61） vs. （2.49± 0. 82）], and there was no significant difference between the two groups（ P 〉 0.05）. The incidence rate of adverse reactions in the ob- servation group was significantly less than that of the control group（ P 〈 0.05）. Conclusion Mask vital capacity inhalation of sevoflu- rane in treating children upper extremity orthopedic operation is effective and safe, can improve the children＇s mental stress threshold and reduce the incidence of postoperative irritability and other negative emotions with the nursing intervention, and can ensure the operation work smoothly and promote the rehabilitation of children.