全麻苏醒期保温护理对胸腔镜肺手术患者应激反应指标及术后复苏情况的影响研究

Impact studies of heat preservation nursing at the general anesthesia recovery stage on the stress response and postoperative resuscitation for thoracoscopic pulmonary surgery patients

目的分析全麻苏醒期保温护理对胸腔镜下肺手术患者应激反应指标和术后复苏情况的影响。方法选择2022年1月-2022年12月南昌大学第一附属医院择期开展胸腔镜肺手术的90例患者进行研究,经随机数字表法分成对照组(麻醉苏醒期予以常规护理)、试验组(在对照组基础上加以保温护理)各45例,比较两组麻醉前(T,)、开始手术15min(T,)及气管拔管时(T,)的平均动脉压、体温、肾上腺素和去甲肾上腺素等应激指标,并发症情况及手术、麻醉后滞留PACU、完全恢复意识和气管导管拔除时间。结果两组T,时的平均动脉压、体温、肾上腺素和去甲肾上腺素相比无差异(P>0.05);试验组T2、T,时的平均动脉压、体温、肾上腺素和去甲肾上腺素比对照组波动更小(P<0.05)。试验组苏醒期躁动、寒战以及低体温等并发症发生率低于对照组(P<0.05)。试验组手术、麻醉后滞留PACU、完全恢复意识和气管导管拔除时间均短于对照组(P<0.05)。结论全麻苏醒期保温护理用于胸腔镜下肺部手术患者,能减轻其应激反应指标波动,促进其术后复苏,减少并发症发生。

Objective To analyze the impacts of heat preservation nursing at the general anesthesia recovery stage on the stress response and postoperative resuscitation for thoracoscopic pulmonary surgery patients.Methods 90 patients of undergoing the thoracoscopic pulmonary surgery from January 2022 to December 2022 in our hospital were selected.According to random number table,patients were divided into control group(n=45,routine care at the general anesthesia recovery stage)and trial group(n=45,routine care and heat preservation nursing at the general anesthesia recovery stage).Group contrast was performed through the stress response indexes like arterial pressure,body temperature,epinephrine and norepinephrine before anesthesia(T),upon 15min of surgery(T2)and upon tracheal extubation(T3),the surgical complications,the operation time,PACU(post-anesthesia care unit)stay time,complete consciousness recovery time and tracheal extubation time.Results At T,the mean arterial pressure,body temperature,epinephrine and norepinephrine values between groups were not significantly different(P>0.05);at T,and T3,the mean arterial pressure,body temperature,epinephrine and norepinephrine fluctuation degrees in the trial group were significantly smaller than control group(P<0.05);the incidences of emergence agitation,shiver and hypothermia in the trial group were significantly lower than control group(P<0.05);the operation time,PACU stay time,complete consciousness recovery time and tracheal extubation time in the trial group were significantly shorter than control group(P<0.05).Conclusion At the general anesthesia recovery stage,the heat preservation nursing can promote the patient's postoperative resuscitation,reduce the stress response index fluctuations and surgical complications.