麻醉苏醒护理联合保温护理对老年全身麻醉患者苏醒期生命体征、应激反应及苏醒期躁动的影响

Effect of Anesthesia Awakening Care Combined with Warming Care on Vital Signs,Stress Response and Agitation during Wake in Elderly Patients Undergoing General Anesthesia

目的探讨麻醉苏醒护理联合保温护理在老年全身麻醉患者苏醒期中的应用效果。方法方便选择2020年4月—2022年4月厦门大学附属第一医院收治的行手术治疗的老年全身麻醉患者130例,依据随机数表法分成两组,每组65例。对照组行常规护理干预,观察组行麻醉苏醒护理联合保温护理干预。比较两组患者术前及苏醒期生命体征指标(心率、收缩压、舒张压、体温)水平、应激反应指标(肾上腺素、去甲肾上腺素、C反应蛋白)水平以及苏醒期躁动发生情况、并发症发生情况。结果苏醒时,观察组生命体征指标均优于对照组,差异有统计学意义(P<0.05)。苏醒时,观察组肾上腺素水平(107.43±14.63)pmol/L、去甲肾上腺素水平(152.87±15.65)pmol/L以及C反应蛋白水平(54.23±6.42)ng/L均低于对照组,差异有统计学意义(t=14.071、6.112、12.433,P<0.05)。观察组患者躁动发生率为6.15%,低于对照组的23.08%,差异有统计学意义(χ^(2)=7.459,P<0.05)。护理后,观察组并发症总发生率为9.23%,低于对照组的32.31%,差异有统计学意义(χ^(2)=10.518,P<0.05)。结论老年全身麻醉患者苏醒期给予麻醉苏醒护理联合保温护理可稳定其生命体征,降低应激反应,且能有效降低躁动及并发症发生率。

Objective To explore the effect of anesthesia awakening care combined with warming care in the awakening period of elderly patients under general anesthesia.Methods 130 elderly general anesthesia patients who underwent surgical treatment at the First Affiliated Hospital of Xiamen University from April 2020 to April 2022 were conveniently selected and divided into two groups using a random number table method,with 65 patients in each group.The control group received routine nursing intervention,while the observation group received anesthesia recovery nursing combined with insulation nursing intervention.Compared the levels of vital signs(heart rate,systolic blood pressure,diastolic blood pressure,body temperature),stress response indicators(adrenaline,norepinephrine,C-reactive protein),as well as the occurrence of restlessness and complications during the recovery period between two groups of patients.Results When awakening,the vital signs of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).At awakening,the levels of adrenaline(107.43±14.63)pmol/L,norepinephrine(152.87±15.65)pmol/L,and C-reactive protein(54.23±6.42)ng/L in the observation group were lower than those in the control group,and the difference was statistically significant(t=14.071,6.112,12.433,P<0.05).The incidence of restlessness in the observation group was 6.15%,lower than the control group of 23.08%,and the difference was statistically significant(χ^(2)=7.459,P<0.05).After nursing,the total incidence of complications in the observation group was 9.23%,lower than the 32.31%in the control group,and the difference was statistically significant(χ^(2)=10.518,P<0.05).Conclusion The combination of anesthesia awakening care and warming care during the awakening period of elderly patients under general anesthesia can stabilize their vital signs,reduce stress reactions,and effectively reduce the incidence of agitation and complications.