全身麻醉患者复苏期气管拔管记忆的临床分析

A clinical analysis of tracheal extubation memory in patients with general anaesthesia at recovery period

目的:探讨全身麻醉患者复苏期气管拔管记忆的临床效果。方法:随机选取2017年3-7月收入广东省中山市中医院手术治疗的160例全麻下行甲状腺大部切除术的患者作为研究对象,随机分为对照组和观察组各80例。对照组在全麻清醒后拔管,观察组全麻清醒前拔管。观察比较两组的临床效果。结果:观察组患者的拔管时间明显短于对照组,观察组在拔管时、拔管后的生命体征明显比对照组平稳,观察组患者拔管后、术后24小时的记忆评分均低于对照组,观察组患者的并发症发生率明显低于对照组(P <0.05)。结论:在全身麻醉清醒前拔管,缩短拔管时间,血流动力学改变小,降低拔管的不适感,有利于降低并发症发生率,值得在临床上进一步探讨和推广。

Objective To investigate the clinical efficacy of tracheal extubation memory in patients with general anesthesia at recovery period. Methods： 160 patients of subtotal thyroidectomy in general anesthesia from March to July 2017 were randomly divided into the control group and observation group, 80 cases in each. The control group was extubate after waking, and the observation group was extubate before waking. The clinical efects in two groups were observed and compared. Results： The extubation time in the observation group was signifcantly shorter than the control group, The vital signs of before and after extubation in the observation group were more stable than the control group. The memory score after extubation and 24 hours after surgery in the observation group was lower than the control group. The incidence of complication in the observation group was signifcantly lower than the control group （P〈0.05）. Conclusion： Extubation before waking can shorten extubation time, decrease hemodynamic change, reduce discomfort of extubation and reduce complication rate, and is worthy of further exploration and popularization in clinic.