腹腔镜手术麻醉苏醒期患者躁动原因分析及护理干预  

The reason of restlessness during up period after anaesthesia of laparoscope surgery patients and nursing intervention

作　　者：张群秀[1] 黄雪莲[1] 吴瑜玉[1] 张晓春[1] 

机构地区：[1]广东医学院附属医院手术室,湛江524001

出　　处：《国际护理学杂志》2010年第10期1580-1582,共3页international journal of nursing

摘　　要：目的 调查腹腔镜手术全麻苏醒期患者躁动的相关因素，采取有效的护理干预，提高患者安全率。方法随机统计2008年6月-2009年6月收治的680例腹腔镜手术全麻苏醒期躁动患者62例的临床资料并进行分析，对躁动的原因施行相应的护理。结果62例躁动患者中气管插管刺激占12例（19％），尿管刺激16例（26％），各种疼痛10例（16％），体位改变8例（13％），心理因素7例（11％），高碳酸血症5例（8％），其他因素5例（8％）。结论密切观察腹腔镜全麻患者复苏期躁动的病情变化，及时、准确分析原因并采取相应对策可以确保患者安全渡过全麻苏醒期。Objective To explore the incidence and risk factors of emergence agitation during the recovery period of general anaesthesia with laparoscope, and adopted the effective nursing intervention and enhance the patient safety coefficient. Methods The clinical data of 62 laparoscope surgery patients were analyzed, and the reason of restlessness during up period after anaesthesia of laparoscope surgery were investigated. Results There were 62 cases of ag lation in patients with endotraeheal intubation accounted for 12 cases （ 19% ）, catheter to stimulate the 16 eases （26%）, all kinds of pain in 10 patients （16%）, postural change in 8 cases （ 13% ）, seven eases of psychological factors （ 11% ）, hypercapnia in 5 cases （8%）, other factors in5 cases （8%） . Conclusions Pay close attention to observe the condition of patient and timely , accurate analysis of the causes and take appropriate measures to ensure patients safety through the recovery from general anesthesia.

关 键 词：腹腔镜 全麻 苏醒期 躁动 危险因素 护理 

分 类 号：R473.6[医药卫生—护理学]