护理干预对气管插管全麻患者苏醒期躁动的影响  

Effect of nursing intervention on the restlessness of awaken period for general anesthesia patients with tracheal intubation

作　　者：唐葶婷[1] 钟良[2] 

机构地区：[1]湖北省武汉市妇女儿童医疗保健中心手术室,湖北武汉430014 [2]湖北省武汉市妇女儿童医疗保健中心麻醉科,湖北武汉430014

出　　处：《实用临床医药杂志》2016年第6期67-69,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨护理干预对气管插管全麻患者苏醒期躁动的预防效果。方法选取本院妇产科行气管插管全麻术60例患者为研究对象,其中30例采用常规护理为对照组,30例采用强化护理干预为观察组,比较2组拔管时的生命体征变化、拔管时间、躁动情况、疼痛情况、呼吸恢复时间等。结果观察组拔管时的心率、收缩压、血氧饱和度波动程度小于对照组(P<0.05);观察组的躁动评分、疼痛评分、躁动发生率低于对照组,拔管时间短于对照组,拔管顺利率高于对照组(P<0.05)。结论强化护理干预能够减少气管插管全麻患者苏醒期躁动的发生,稳定患者的生命体征,提高麻醉的安全性。Objective To investigate the preventive effect of nursing intervention on restlessness of awaken period for general anesthesia patients with tracheal intubation. Methods A total of 60 general anesthesia patients with tracheal intubation in obstetrics and gynecology department were selected as research objects and were randomly divided into control group with 30 cases,given routine nursing and observation group with 30 cases,given strengthened nursing intervention. Changes of vital signs,extubation time,restlessness condition,pain,respiratory recovery time were compared.Results The heart rate,systolic blood pressure and blood oxygen saturation in the observation group were less than that in the control group（ P〈0. 05）. Restless score,pain score,and restless rate in the observation group was lower than that in the control group,the extubation time was shorter than that in the control group,the success rate of extubation was higher than that in the control group（ P〈0. 05）. Conclusion Intensive nursing intervention can reduce the incidence of restlessness of patients with tracheal intubation and general anesthesia,stabilize the vital signs of patients and improve the safety of anesthesia.

关 键 词：护理干预 气管插管 全麻患者 苏醒期 

分 类 号：R473.6[医药卫生—护理学]