强化苏醒护理对于改善腹部手术全麻患者躁动的作用

Effects of Intensive Recovery Nursing on Improving Agitation in Patients undergoing Abdominal Surgery by General Anesthesia

目的观察强化苏醒护理对改善腹部手术全麻患者躁动的作用。方法收集本溪北营钢铁（集团）股份有限公司职工医院2015—2017年收治的腹部手术全麻患者109例，随机分为观察组55例和对照组54例。对照组接受常规护理；观察组在此基础上强化苏醒护理措施，比较两组患者基础生命体征和躁动发生情况。结果两组患者收缩压、舒张压、心率基础值差异无统计学意义（P〉0．05）；而苏醒值差异有统计学意义（P〈0．05）。对照组苏醒期SAS评分为（5．74±1．02）分；观察组苏醒期SAS评分为（3．26±0．98）分，两组差有统计学意义（t=3．715，P〈0．05）。结论强化苏醒护理有助于保证腹部手术全麻患者的基础生命体征平稳和控制躁动程度。

Objective To observe the effects of intensive recovery nursing on improving agitation in patients undergoing abdominal operation by general anesthesia. Methods A total of 109 patients accepted abdominal surgery by general anesthesia from 2015 to 2017 were collected, and divided into observation group （55 cases） and control group （54 cases） randomly. The control group received routine nursing, while the observation group was given intensive recovery nursing on the basis of this. The basic vital signs and agitation occurences were compared between two groups. Results There was no significant difference in systolic blood pressure, diastolic blood pressure and heart rate between two groups （P〉0.05）, but there was significant difference in recovery （P〈0.05）. In the control group, the SAS score was 5.74±1.02 in the recovery period, while the SAS score in the observation group was 3.26±0.98, which was significantly different （t=-3.715, P〈0.05）. Conclusion Intensive recovery nursing is helpful to ensure the stable basic life signs and control the degree of agitation in patients undergoing abdominal operation by general anesthesia.