手术室麻醉苏醒护理对减少腹部手术患者全麻苏醒期躁动的疗效评价

Evaluation of the Effect of Nursing in Anesthesia Recovery Period on Reduc-ing the Emergence Agitation in Patients with Abdominal Operation

目的探讨分析手术室麻醉苏醒护理对减少腹部手术患者全麻苏醒期躁动的应用效果。方法对该院2012年10月—2014年10月行全麻腹部手术的76例患者的临床资料进行分析,随机分为观察组、对照组,每组38例。观察组患者给予手术室麻醉苏醒护理,对照组患者给予常规护理。观察对比两组患者的血压指标、心率及躁动发生率。结果观察组患者的血压、心率均要低于对照组,两组对比差异具有统计学意义(P<0.05)。观察组患者躁动评分为0分34例,1分3例,2分1例,躁动发生率为10.5%;对照组患者躁动评分为0分27例,1分6例,2分4例,3分1例,躁动发生率为28.9%,两组对比,差异有统计学意义(P<0.05)。结论对全麻腹部手术患者实施手术室麻醉苏醒护理,可以有效降低患者的血压指标、心率及躁动发生率,对患者的早日康复有着积极意义,值得在临床治疗中广泛应用。

Objective To explore and analyze the application effect of nursing in anesthesia recovery period in operating room on reducing the emergence agitation in patients with abdominal operation. Methods The clinical data of 76 cases underwent abdominal operation under general anesthesia in our hospital from October 2012 to October 2014 were analyzed. The patients were randomly divided into the observation group and the control group with 38 cases in each. The observation group was given nursing in anesthesia recovery period in operating room, and the control group was given the conventional nursing. And the blood pressure,heart rate, and incidence of emergence agitation of the two groups were observed and compared. Results The blood pressure was lower and heart rate was less in the observation group than in the control group, the difference was statistically significant（P〈0.05）.The status of emergence delirium scale showed that, in the observation group, there were 34 cases with 0 point, 3 cases with 1point, 1 case with 2 points, the incidence of emergence agitation was 10.5%; in the control group, there were 27 cases with 0point, 6 cases with 1 point, 4 cases with 2 points, 1 case with 3 points, the incidence of emergence agitation was 28.9%, the difference between the two groups was statistically significant（P〈0.05）. Conclusion For patients with abdominal operation under general anesthesia, nursing in anesthesia recovery period in operating room can effectively reduce the blood pressure, heart rate and the incidence of emergence agitation, and it is conducive to the early recovery of the patients, so it is worthy of extensive clinical application.