语言唤醒护理对全身麻醉患者苏醒质量的影响研究

Effect of Language Wake-Up Nursing on Recovery Quality of Patients Undergoing General Anesthesia

目的:探讨语言唤醒护理在全身麻醉患者围术期护理中的应用效果。方法:选取2016年6月～2018年3月于我院择期行气管插管全身麻醉下的腹部手术患者176例,采取随机数字表法分为两组,每组88例。其中对照组给予常规护理,观察组在此基础上实施语言唤醒护理。比较两组苏醒时间和苏醒期并发症发生情况,拔管后不同时间点基础生命体征变化。结果:干预后,观察组呼之睁眼、呼之握拳及拔管时间分别为(14.25±1.55)min、(12.78±1.36)min、(21.36±7.58)min,均显著短于对照组(P<0.01);两组自主呼吸时间相比差异无统计学意义(P>0.05)。苏醒期,观察组并发症总发生率为22.73%(20/88),明显低于对照组[39.77%(35/88),P<0.05]。拔管即刻和拔管后5min时,两组生命体征指标[心率(HR)、收缩/舒张压(SBP和DBP)]水平同期对比差异均无统计学意义(P>0.05);拔管后10min,观察组上述指标均明显优于对照组(P<0.05)。结论:语言唤醒护理可有效缩短全身麻醉患者的苏醒时间,减少躁动的发生,提高苏醒质量,且患者生命体征更平稳。

Objective: To explore effect of language wake-up nursing on recovery quality of patients undergoing general anesthesia. Methods: Selected 176 cases undergoing scheduled abdominal surgery under general anesthesia with tracheal intubation in our hospital from June 2016 to March 2018, and divided them into two groups randomly with 88 cases in each group. Provided control group with routine nursing, and provided routine nursing combined with language wake-up nursing to observation group. Compared two groups’ wake-up time and complications during recovery period, as well as basic vital signs at different time points after extubation. Results: After interventions, observation group's eyes-opening, fist-making after calling and extubation time were (14.25±1.55) min,(12.78±1.36) min,(21.36±7.58) min, those were significant lower than those in control group (P<0.01). Here was no significant difference in the spontaneous breathing time between the two groups (P>0.05). During wake-up time, observation group’s complication rate was 22.73%(20/88) which was significant lower than control group’s [39.77%(35/88), P<0.05]. Immediately after extubation and 5 min after extubation, here was no statistical significant difference vital signs indicators [HR, systolic / diastolic pressure (SBP and DBP)] between two group at same time (P>0.05). 10 mins after extubation, observation group’s above indicators were significant higher than those in control group (P<0.05). Conclusion: Language wake-up nursing helps patients undergoing general anesthesia to shorten awake time, reduce the occurrence of restlessness, improve the quality of recovery, and make the patient's vital signs are more stable.