无抽搐电休克治疗应用艾司洛尔联合常规麻醉的观察及护理  

Observation of esmolol combined with conventional anesthesia in the treatment of non-convulsive electrinic shock and its nursing

作　　者：张威[1] 石丽杰[2] 庞娜[1] 赵蕊[1] 

机构地区：[1]河北省唐山市协和医院麻醉科,河北唐山63000 [2]河北省唐山市协和医院手术室,河北唐山63000

出　　处：《实用临床医药杂志》2017年第22期64-66,共3页Journal of Clinical Medicine in Practice

基　　金：河北省唐山市协和医院重点科学研究计划项目(2160833)

摘　　要：目的探讨无抽搐电休克治疗中应用艾司洛尔联合常规麻醉的效果及护理策略。方法选取需行无抽搐电休克治疗的120例精神病患者,根据随机数表法平均分为2组。常规组给予常规麻醉,即阿托品、丙泊酚、琥珀胆碱顺次静脉注射,肌颤结束后予以电刺激;联合组在常规药物基础上,电刺激结束后30 s给予艾司洛尔静脉注射。于患者入室、电刺激结束后30 s、1 min、2 min、5 min观察其收缩压(SBP)、舒张压(DBP)、心率(HR)水平变化,并统计2组患者治疗后不良反应发生率以及苏醒时间、自主呼吸恢复时间。结果联合组患者电刺结束后1 min、2 min时的DBP、SBP及HR低于常规组(P<0.05);联合组患者治疗后不良反应发生率(13.33%)低于常规组(28.33%),苏醒时间及自主呼吸恢复时间短于常规组(P<0.05)。结论在无抽搐电休克治疗中实施艾司洛尔联合常规麻醉,有利于保持患者生命体征平稳,缩短复苏时间,降低麻醉风险,实施相应护理措施后效果更佳。Objective To investigate the effect and nursing strategies of esmolol combinedwith conventional anesthesia in patients with non-convulsive electronic shock theratotal of 120 patients with psychosis who were treated with non-convulsive electroned into two groups according to the random number table method. Conventional group with 60 caseswas given conventional anesthesia such as atropine,propofol,succinylcholine intravenous injection, electrical stimulation was applied after the end of myopia; Combined group with 60 cases was givenesmolol intravenous injection after 30 s of electrical stimulation on the basis of conventional drugs.The blood pressure （SBP） , diastolic blood pressure （DBP） and heart rate （HR） were measured at30 s,1 min,2 min and 5min at theend of electrical stimulation. The incidence rat^ of adverse reac-tions and recovery time,spontaneous breathing recovery time were observed in both The levels of DBP,SBP and HR were lower than those of the conventional group at lmat the end of the stimulation （ P 〈 0. 05 ） . The incidence of adverse reactions （13. 3 3 % ） in the com-bined group was lower than that in the conventional group （28. 3 3 % ）, and the recovery time and time of spontaneous respiration were shorter than that of the conventional group （P 〈0. 05） . Conclu-sion Esmolol combined with conventional anesthesia can stabilize vital signs, shorten the recoverytime, and reduce the risk of anesthesia.

关 键 词：无抽搐电休克治疗 艾司洛尔 常规麻醉 生命体征 

分 类 号：R472.9[医药卫生—护理学]