术前宣教对支撑喉镜喉肿物摘除患者全麻苏醒期的影响  

Effect of preoperative education on the recovery period of general anesthesia after suspension laryngoscopic surgery

作　　者：简晓敏[1] 许立新[1] 阮祥才[1] 刘焕仪[1] 

机构地区：[1]广州市第一人民医院麻醉科,广州510180

出　　处：《广州医药》2015年第4期66-68,共3页Guangzhou Medical Journal

摘　　要：目的观察术前宣教对支撑喉镜喉肿物摘除患者全麻苏醒期的影响。方法选择择期支撑喉镜喉肿物摘除全身麻醉手术的患者72例。随机分成两组进行效果对比,一组为接受常规护理的对照组,另一组为本次接受术前宣教观察组。分别对两组患者术后苏醒期躁动发生情况、心血管变化及配合性进行对比。结果观察组患者通过术前宣教,有效减少全麻苏醒期患者躁动相关情况的发生,其心率、血压水平也较稳定,与对照组相比较差异有统计学意义(P<0.05);两组患者配合性相比较,差异有统计学意义(P<0.05)。结论对支撑喉镜喉肿物摘除行全麻手术的患者进行术前宣教护理,可以有效减少苏醒期患者躁动的发生率,减轻气管拔管对心血管影响。提高整体治疗护理效率,达到更高的满意度,该方法切实可行,值得临床广泛运用。Objective To obeserve the effect of preoperative education on the recovery period of general anesthesia after suspension laryngoseopic surgery. Methods Seventy-two adult patients undergoing suspension laryngoscopic surgery were randomly divided for the effect contrast. Routine nursing were adopted for control-group while the only difference for the observation group was the preoperative education. The occurrence of emergence agitation, hemodynamic, and compliance degree were compared between the two groups. Results Through preoperative education, observation group can significantly reduce the occurrence of agitation effectively and keep hemodynamics more stable than control group. Moreover, the compliance degree in two groups also has statistical significance （P 〈 0. 05 ）. Conclusion Preoperative education can succeed in reducing the incidence of emergence agitation, inhibiting the responses to endotraeheal extubation after suspension laryngoscopie surgery. Thus, preoperative education is feasible to enhance the overall effectiveness of treatment and nursing care. It is worth in popularization and application in clinical practice.

关 键 词：术前宣教 支撑喉镜 喉肿物摘除 全身麻醉 苏醒期 烦躁 血流动力学变化 

分 类 号：R473.73[医药卫生—护理学]