保温护理对全身麻醉患者术中应激及术后苏醒影响的临床分析

Clinical Analysis of the Effect of Heat Preservation and Nursing on Intraoperative Stress and Postoperative Revival in Patients With General Anesthesia

目的分析保温护理对全身麻醉患者术中应激、术后苏醒的影响。方法选取我院2015年4月—2016年4月收治的122例全身麻醉患者,根据患者就诊时间,将122例患者分为观察组(n=61)、对照组(n=61)。观察组接受保温护理,对照组接受常规护理,对比两组手术相关情况、应激反应及麻醉复苏情况。结果两组手术时间、输液量、出血量比较,差异不具有统计学意义(P>0.05)。两组麻醉恢复室滞留时间、完全清醒时间、拔管时间比较,差异具有统计学意义(P<0.05)。两组在C反应蛋白、去甲肾上腺素、肾上腺素方面对比,差异具有统计学意义(P<0.05)。结论保温护理,在全身麻醉患者中应用,可促使患者及早清醒,防止产生应激反应情况。

Objective To analyze the effect of heat preservation on stress and postoperative recovery in patients with general anesthesia. Methods122 cases of general anesthesia admitted to our hospital from April 2015 to April 2016 were selected. According to the time of treatment, 122 patients were divided into observation group（n=61） and control group（n=61）. Theobservation group received thermal insulation nursing, while the control group received routine nursing. The operation related conditions, stress reaction and recovery of anesthesia were compared between the two groups. Results There was no significant difference in operative time, transfusion volume and bleeding volume between the two groups（P 〈0.05）. Two groups of anesthesia recovery room stay time, full wake-up time, extubation time comparison, the difference was statistically significant（P〈0.05）. The difference between the two groups in C reactive protein, norepinephrine and epinephrine was statistically significant（P〈 0.05）. Conclusion The application of heat preservation and nursing in the patients with general anesthesia can prompt the patient to wake up early and prevent the stress reaction.