瑞芬太尼配合麻醉苏醒护理干预对手术室全身麻醉患者苏醒质量的影响

Effect of remifentanil combined with anesthesia recovery nursing intervention on recovery quality of patients under general anesthesia in operating room

目的观察瑞芬太尼配合麻醉苏醒护理干预对手术室全身麻醉患者苏醒质量的影响。方法选取2017年12月-2019年1月大冶市人民医院收治的行全身麻醉手术患者100例,采取随机数字表法分为观察组和对照组,每组50例。2组均采用常规麻醉方式,对照组采取常规护理干预,观察组采用麻醉苏醒护理干预,比较2组麻醉恢复期心率(HR)、收缩压(SBP)、舒张压(DBP)水平及躁动发生率。结果观察组麻醉恢复期HR、DBP、SBP水平均低于对照组(P<0.01);观察组躁动发生率为4.00%,低于对照组的18.00%(χ^2=5.005,P<0.05)。结论在瑞芬太尼麻醉过程中,配合有效的麻醉苏醒护理干预,对全身麻醉手术患者苏醒质量影响较大,可有效降低苏醒期并发症发生率,保证患者的安全,具有重要临床意义。

Objective To observe the effect of remifentanil combined with anesthesia recovery nursing intervention on the recovery quality of patients under general anesthesia in operating room.Methods 100 patients with general anesthesia in Daye people’s Hospital from December 2017 to January 2019 were selected and randomly divided into observation group and control group with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given anesthesia recovery nursing intervention.The levels of heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP)and the incidence of agitation were compared between the two groups.Results the levels of HR,DBP and SBP in the observation group were lower than those in the control group(P<0.01);the incidence of agitation in the observation group was 4.00%,which was lower than 18.00%in the control group(χ^2=5.005,P<0.05).Conclusion In the process of remifentanil anesthesia,with effective anesthesia recovery nursing intervention,has a great impact on the quality of recovery of patients with general anesthesia,can effectively reduce the incidence of complications in the recovery period,ensure the safety of patients,and has important clinical significance.