引起腹腔镜术后麻醉苏醒期患者躁动的原因分析与护理对策

Analysis of causes of estlessness in patients undergoing laparoscopic anesthesia recovery and nursing strategies

目的探讨腹腔镜术后麻醉苏醒期患者躁动的影响因素,并提出预见性护理干预对策。方法选取我院2017年6—12月收治的3326例择期腹腔镜手术患者作为调查对象,其中379例发生苏醒期躁动,2947例患者未发生苏醒期躁动。采用logistic回归分析法对患者置管情况、麻醉情况、用药情况及出血量、疼痛、低体温等情况进行分析,确定引起躁动的影响因素。结果经logistic多因素回归分析发现,麻醉前留置导尿、麻醉维持用药、疼痛、术中低体温为引发腹腔镜术后苏醒期躁动的影响因素。结论腹腔镜患者全麻患者麻醉前留置导尿、麻醉维持用药、疼痛、术中低体温可直接影响患者术后麻醉苏醒期躁动发生,麻醉苏醒室护理人员应及时给予患者超前镇痛、安全防护、术后复温等措施。

Objective To explore the influencing factors of estlessness in patients undergoing laparoscopic anesthesia recovery, and to propose predictive nursing intervention strategies. Methods A total of 3,326 patients undergoing selective laparoscopic surgery admitted to our hospital from June 2017 to December 2017 were selected as research subjects. Among them, 379 patients had estlessness during the recovery period, and 2,947 patients did not have estlessness during the recovery period. Logistic regression analysis was used to analyze the patient's catheterization, anesthesia, medication, bleeding volume, pain, hypothermia, etc., and thus determining the influencing factors causing dysphoria. Results Logistic multivariate regression analysis showed that indwelling catheterization before nesthesia, anesthesia maintenance medication, pain, and intraoperative hypothermia were the influencing factors of restlessness during recovery. Conclusion In laparoscopic patients with general anesthesia, indwelling catheterization, anesthesia maintenance medication, pain, and intraoperative hypothermia can directly affect the patient's postoperative anesthesia recovery dysphoria. Therefore, the nurses in anesthesia recovery room should promptly give patients advanced analgesia, safety protection, postoperative rewarming and other measures.