麻醉苏醒护理联合保温护理对全身麻醉患者术中应激及苏醒躁动期干预效果分析

Intervention effect analysis of anesthesia awakening nursing combined with heat preservation nursing on stress and restlessness in general anesthesia patients during operation

目的分析麻醉苏醒护理联合保温护理对全身麻醉患者术中应激及苏醒躁动期干预效果。方法选取2013年12月至2016年12月在解放军第180医院接受手术治疗的患者180例,将患者随机分成试验组(90例)和对照组(90例);试验组患者采用麻醉苏醒护理和保温护理,对照组患者采用常规护理。观察患者手术中的状况、体温的变化和苏醒期的状况;观察患者手术前和手术后C反应蛋白、肾上腺激素和去甲肾上腺素的水平。结果 2组患者在手术时间、手术中的输液量和手术中的出血量情况对比,差异无统计学意义(P>0.05);手术后2组患者的肾上腺素、C反应蛋白和去甲肾上腺素的含量均有提升,试验组患者提升的水平低于对照组,差异均有统计学意义(P<0.05);2组患者苏醒期心率、收缩压和舒张压均有升高,试验组患者升高的比对照组低,2组患者苏醒期数据及躁动发生率对比,差异有统计学意义(P<0.05)。结论麻醉苏醒护理结合保温护理对全身麻醉患者术中应激及苏醒躁动期干预效果显著,使患者手术中安全性得到提高,术后苏醒期躁动的发生率明显降低。

Objective To study the intervention effect of awakening anesthesia nursing combined with heat preservation nursing on stress and restlessness in general anesthesia patients during operation .Methods One hun-dred and eighty patients underwent surgical treatment in 180th Hospital of PLA from December 2013 to December 2016 ,were selected and divided into the experimental group （n=90） and the control group （n=90） randomly . The experimental group of patients received anesthesia awakening nursing combined with heat preservation nurs-ing ,and the control group of patients received conventional care .We observed the status of the operation ,the changes of body temperature and the condition of recovery ,and the levels of C reactive protein ,adrenal hormone and norepinephrine in the patients before and after operation were analyzed .Results There were no statistically significant difference for the time of operation ,the amount of infusion during operation and the amount of bleeding during operation between the two groups （P〉0 .05） .After operation ,the contents of adrenal hormone ,C reactive protein and norepinephrine in the two groups were improved ,and the level of promotion in the experimental group was lower than that in the control group ,and the differences were statistically significant （P〈0 .05） .The heart rate ,systolic blood pressure and diastolic blood pressure of the two groups increased during the recovery period , and the rising degree in the experimental group were higher than those in the control group .And for the data of the recovery period and the incidence of agitation between the two groups ,the difference were statistically signifi-cant （P〈0 .05） .Conclusion Anesthesia awakening nursing combined with heat preservation nursing has signifi-cant effect on the stress and recovery restlessness period in general anesthesia patients during operation .They can significantly improve the safety of patients during operation and reduce the incidence of restlessness during the re-covery period after operation .