保温护理联合麻醉苏醒期护理在全身麻醉手术患者中的应用效果

Application effects of heat preservation nursing combined with anesthesia recovery period nursing in patients undergoing general anesthesia surgeries

目的:观察保温护理联合麻醉苏醒期护理在全身麻醉(全麻)手术患者中的应用效果。方法:选取2021年3月至2022年5月于该院行全麻手术的92例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各46例。对照组实施麻醉苏醒期常规护理,观察组在对照组基础上实施保温护理。比较两组麻醉苏醒时间(完全清醒时间、插管持续时间、复苏室停留时间)、护理前后应激指标[C反应蛋白(CRP)、肾上腺素(AD)、去甲肾上腺素(NE)]水平、麻醉恢复质量(意识、血压、活动力、呼吸、血氧饱和度)评分及麻醉后应激发生率。结果:观察组完全清醒时间、插管持续时间、复苏室停留时间等麻醉苏醒时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组CRP、AD、NE等应激指标水平均高于护理前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组意识、血压、活动力、呼吸、血氧饱和度等麻醉恢复质量评分均高于对照组,差异有统计学意义(P<0.05);观察组麻醉后应激发生率为8.70%,明显低于对照组的28.26%,差异有统计学意义(P<0.05)。结论:保温护理联合麻醉苏醒期护理应用于全麻手术患者,可加快麻醉后苏醒,减轻机体应激反应,提高麻醉恢复质量,降低麻醉后应激反应的发生风险,效果优于麻醉苏醒期常规护理。

Objective:To observe application effects of heat preservation nursing combined with anesthesia recovery period nursing in patients undergoing general anesthesia surgeries.Methods:A prospective study was conducted on 92 patients who underwent general anesthesia surgeries in this hospital from March 2021 to May 2022.They were divided into control group and observation group according to the random number table method,46 cases in each group.The control group was given routine nursing during the anesthesia recovery period,while the observation group was given the heat preservation nursing on the basis of that of the control group.The anesthesia recovery time(complete awake time,intubation duration,recovery room stay time),the stress index levels[C-reactive protein(CRP),adrenal hormone(AD),norepinephrine(NE)]before and after the nursing,the quality of anesthesia recovery(consciousness,blood pressure,activity,respiration,blood oxygen saturation)score,and the incidence of stress after anesthesia were compared between the two groups.Results:The recovery time of anesthesia such as complete awake time,intubation duration,recovery room stay time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,the levels of stress indexes such as CRP,AD and NE in the two groups were higher than those before the nursing,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The quality scores of anesthesia recovery such as consciousness,blood pressure,activity,respiration and blood oxygen saturation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of stress after anesthesia in the observation group was 8.70%,which was significantly lower than that in the control group(28.26%),and the difference was statistically significant(P<0.05).Conclusions:The heat preservation nursing combined with anesthesia recovery period nursing in the patients undergoing general anesthesia surgeries can accelerate the recovery after anesthesia,reduce the body’s stress reactions,improve the quality of anesthesia recovery,and reduce the risk of stress reactions after anesthesia.Moreover,it is superior to the routine nursing during the anesthesia recovery period.