儿童扁桃体全麻手术标准化护理效果研究

Study on the Effect of Standardized Nursing for Children with Tonsil General Anesthesia Operation

目的:研究儿童扁桃体全麻手术标准化综合护理的效果。方法:于蚌埠医科大学第一附属医院2021年1月至2022年12月行全麻扁桃体手术患儿中随机抽取60例,以随机数表法分为对照组(30例,行常规手术室护理)和观察组(30例,行手术室标准化综合护理),对比两组护理效果。结果:观察组呼唤回应时间(14.12±1.30)min,麻醉清醒时间(22.64±2.27)min,气管拔管时间(23.82±4.24)min,显著短于对照组呼唤回应时间(15.76±2.13)min,麻醉清醒时间(24.52±2.58)min,气管拔管时间(26.25±3.37)min(P<0.05)。观察组恶心呕吐1例(3.33%),未见心动过速、躁动、低体温,合计1例(3.33%),显著少于对照组8例(26.67%)(P<0.05)。结论:对行扁桃体手术的患儿采取标准化综合护理不仅有利于患儿术后快速恢复,也能有效预防手术并发症,更有利于手术安全和患儿身体康复。

Objective:To study the effect of standardized comprehensive nursing of children with tonsil general anesthesia operation.Methods:60 cases receiving tonsil general anesthesia operation in the First Affiliated Hospital of Bengbu Medical University from January 2021 to December 2022 were randomly selected and divided into the control group(30 cases,receiving routine operating room nursing)and the observation group(30 cases,receiving standardized comprehensive nursing in operating room)by random number table method.The nursing effect of the two groups was compared.Results:The call response time was(14.12±1.30)min,the anesthesia waking time was(22.64±2.27)min,and the tracheal extubation time was(23.82±4.24)min in the observation group,which were significantly shorter than those in the control group,(15.76±2.13)min,(24.52±2.58)min,and(26.25±3.37)min respectively,(P<0.05).There was 1 case of nausea and vomiting(3.33%),and no tachycardia,agitation and hypothermia in the observation group,which was significantly lower than the 8 cases(26.67%)in the control group(P<0.05).Conclusion:Standardized comprehensive nursing for children undergoing tonsil operation can not only be conducive to rapid recovery of children after surgery,but also effectively prevent surgical complications,and is more conducive to surgical safety and physical recovery of children.