配偶语音刺激对全身麻醉下行胸腰椎手术患者苏醒期的影响

Effect of spousal voice stimulation on the recovery period of patients undergoing thoracic/lumbar surgery under general anesthesia

目的观察配偶语音刺激对全身麻醉下行胸腰椎手术患者苏醒期的影响,为临床提供参考。方法将67例符合纳排标准的全身麻醉下行胸腰椎手术患者按照随机数字表法分为对照组(34例)和试验组(33例)。在全身麻醉苏醒期2组患者均给予苏醒期护理,在此基础上对照组苏醒期由医护人员实施语音唤醒,试验组苏醒期与其配偶行语音通话进行苏醒期唤醒,比较2组患者的苏醒时间、苏醒期疼痛评分、苏醒期躁动及恶心的发生率和生命体征的数值。结果试验组患者拔管时间、呼之能应时间、呛咳恢复时间、苏醒时间、苏醒期疼痛评分分别为(14.00±3.90)min、(11.67±3.83)min、(10.03±3.58)min、(21.24±4.28)min、(4.15±0.79)分,对照组患者分别为(18.00±6.60)min、(15.59±5.86)min、(12.68±5.01)min、(29.50±8.25)min、(5.26±0.86)分,2组比较差异有统计学差异(t值为2.481~5.483,P<0.05或0.01)。2组患者苏醒期躁动及恶心的发生率比较差异无统计学意义(P>0.05)。2组患者的血压、心率、血氧饱和度数值的交互效应无统计学意义(P>0.05)。结论配偶语音刺激能缩短全身麻醉下行胸腰椎手术患者的拔管时间、呼之能应时间、呛咳恢复时间及苏醒时间,还能降低患者苏醒期疼痛,具有可行性。

Objective To study the effect of spousal voice stimulation on the recovery period of patients undergoing thoracic/lumbar surgery under general anesthesia.Methods A total of 67 patients undergoing thoracic/lumbar surgery under general anesthesia who met the inclusion exclusion criteria were divided into 34 patients in the control group and 33 patients in the experimental group according to the random number table method.Awakening in the recovery period patients were given general anesthesia care,on the basis of the control group recovery period voice wake up by paramedics.The recovery time,pain score,the incidence of restlessness and nausea and vital signs between the two groups were compared.Results The extubation time,exhalation time,recovery time of choking cough,recovery time,and pain score in the recovery stage were(14.00±3.90)min,(11.67±3.83)min,(10.03±3.58)min,(21.24±4.28)min,(4.15±0.79)points in the experimental group,respectively.Those were(18.00±6.60)min,(15.59±5.86)min,(12.68±5.01)min,(29.50±8.25)min,(5.26±0.86)points in the control group,respectively.The differences between the two groups were statistically significant(t values were 2.481-5.483,P<0.05 or 0.01).There was no significant difference in the incidence of restlessness and nausea and vital signs between the two groups(P>0.05).Conclusions Spoused-voice stimulation can shorten the extubation time,exhalation time,recovery time and recovery time of choking cough in patients undergoing thoracolumbar surgery under general anesthesia,and reduce the pain in the recovery period.