麻醉苏醒护理联合保温护理对结直肠癌全麻患者术后应激水平及躁动的影响

Influence of Anesthesia Emergence Nursing Combined with Incubation Nursing on Postoperative Stress Level and Agitation of the Colorectal Cancer Patients Undergoing General Anesthesia

为探讨麻醉苏醒护理联合保温护理对结直肠癌全麻患者术后应激水平及躁动的影响,将结直肠癌需行全麻手术患者86例随机分为对照组和观察组,每组43例。对照组患者采用常规方法护理,观察组患者在对照组基础上采用麻醉苏醒护理联合保温护理,比较2组患者应激指标、躁动情况、术中体温情况。结果显示,2组患者麻醉前醛固酮、皮质醇水平比较无显著性差异(P>0.05),术后24h观察组醛固酮、皮质醇水平显著低于对照组(P<0.05);观察组患者躁动发生率为16.28%,明显低于对照组的37.21%(P<0.05);麻醉前2组患者体温比较无显著性差异(P>0.05),麻醉后、开腔1h、开腔2 h、手术结束时观察组患者体温高于对照组(P<0.05)。结果表明,对结直肠癌全麻患者采取麻醉苏醒护理联合保温护理干预,能有效缓解患者应激反应,维持患者术中体温稳定,降低苏醒期躁动的发生。

This study was to investigate the influence of anesthesia emergence nursing combined with incubation nursing on postoperative stress level and agitation of the colorectal cancer patients undergoing general anesthesia,randomly divided 86patients to be subject to general anesthesia for colorectal cancer surgery into control group(43cases,routine nursing)and observation group(43cases,routine nursing plus incubation one);then,compared both groups'stress norms,agitation status and intraoperative body temperature status.As results,in aldosterone and cortisol levels before anesthesia there was no statistical difference between the two groups(P>0.05),but 24hafter procedure,above levels of observation group were significantly lower than that of control group(P<0.05);agitation incidence of observation group was significantly lower than that of control group(16.28%vs 37.21%,P<0.05);before anesthesia the body temperature of both groups had no significant difference(P>0.05),but at following time point as after anesthesia,1hopen-cavity,2hrs.open-cavity,and operation end the body temperature of observation group was higher than that of control group(P<0.05).Results show that both nursing combination can effectively relieve those patients'stress response,also maintain their intraoperative body temperature stable,and reduce agitation incidence at emergence.