小儿全麻苏醒期躁动的原因分析及护理对策  

Cause Analysis and Nursing Intervention for Emergence Agitation in Pediatric Patient under General Anesthesia

作　　者：梅燕[1] 丁玉辉[1] 罗宇[1] 

机构地区：[1]泸州医学院附属医院手术室,四川泸州646000

出　　处：《中国伤残医学》2013年第5期49-51,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探探讨小儿全麻术后苏醒期躁动的原因和护理对策。方法:回顾性分析722例全麻手术患儿术后苏醒期躁动的发生情况,采用儿童全麻苏醒期躁动的Ⅴ点分级法评估苏醒期躁动程度,并对全麻苏醒期躁动(Ⅲ级以上)患儿进行躁动原因分析及术后舒适护理干预。结果:全身麻醉患儿722例,132例术后发生苏醒期躁动,总发生率为18.28%;躁动患儿中存在伤口疼痛52例,各种不良刺激43例,分离焦虑22例,其他原因15例,分别占39.39%,32.58%,16.67%及11.36%。经父母陪护等术后舒适护理小儿苏醒期躁动总发生率降为4.43%。结论:小儿全麻苏醒期躁动的常见原因有术后疼痛、各种不良刺激、分离焦虑和其他因素。经父母陪护复苏等综合的术后舒适护理干预措施,可以有效缓解小儿全麻苏醒期躁动的发生。Objective：Discussion of cause analysis and nursing intervention for emergence agitation in pediatric patient under general anesthesia. Methods： The histories of 722 pediatric patients were retrospectively analyzed to find out the incidence of emergence agitation during the recovery period of general anesthesia. Using theⅤpoint classification method to evaluate emergence agitation degree of pediatric patient under general anesthesia and analyze the causes of emergence agitation of children（Ⅲ degree or above） and then take care interventions. Results： Emergence agitation occurred in 132 cases of 722 children under general anesthesia and 52 cases of 132 children because of wound pain, 43 cases due to all sorts of undesirable stimulation, 22 cases by reason of separation anxiety and 15 cases owing to other causes. Emergence agitation which occurred in 132 children obviously remission by adequate analgesia, parental accompany and other comfortable nursing intervention. Conclusion： There are the common causes of emergence agitation in pediatric patient under general anesthesia, such as postoperative pain, all kinds of undesirable stimulation and other factors. Comprehensive comfortable nursing intervention which include postoperative comfort care,such as parental accompany during the recovery and adequate analgesia and so on can effectively reduce the incidence of emergence agitation in pediatric anesthesia.

关 键 词：小儿 全身麻醉 苏醒期躁动 舒适护理 

分 类 号：R614.2[医药卫生—麻醉学]