对行腹腔镜下直肠癌根治术后的患者实施有针对性护理干预对改善其全麻复苏期躁动的效果  

Effect of purposeful nursing interventions for improving agitation sedation after general anesthesia of the patients accepted radical resection of rectal carcinoma under laparoscope

作　　者：赵学彬[1] 刘容[1] 庞波[1] 樊雅玲[1] 王永洪[1] 杨琴[1] 陈茜 

机构地区：[1]乐山市人民医院,四川乐山614000

出　　处：《当代医药论丛》2017年第24期6-7,共2页

摘　　要：目的:探讨对行腹腔镜下直肠癌根治术后的患者实施有针对性护理干预对改善其全麻复苏期躁动的效果。方法:将2015年6月至2016年5月在乐山市人民医院进行腹腔镜下直肠癌根治术的60例直肠癌患者按入院的时间顺序分为参照组与观察组。对两组患者进行常规护理,在此基础上对观察组患者进行有针对性的护理干预,然后记录两组患者手术的时间、术中的出血量、术中的输液量及发生全麻复苏期躁动、心动过速、血压升高的情况。结果:与参照组患者相比,观察组患者手术的时间较短,术中的出血量及术中的输液量均较少,差异有统计学意义(P<0.05)。与参照组患者相比,观察组患者发生全麻复苏期躁动、心动过速及血压升高的几率均较低,差异有统计学意义(P<0.05)。结论:对接受腹腔镜下直肠癌根治术的患者进行有针对性的护理干预可缩短其手术时间,能减少其术中的出血量,能有效地预防其发生全麻复苏期躁动、心动过速及高血压。Objective： To investigate the effect purposeful nursing interventions for improving agitation sedation after general anesthesia of the patients accepted radical resection of rectal carcinoma under laparoscope. Methods： Divide 60 cases of the patients accepted radical resection of rectal under laparoscope in our hospital during June 2015 to May 2016 base on time of admission. Treat 2 groups with routine nursing, base on it, we treat experimental group with purposeful nursing interventions, then recorded the operative time, bleeding volume during operation, transfusion volume, and incidence of agitation sedation after general anesthesia, tachycardia, elevation of blood pressure of 2 groups. Results： Compare with control group, operative time of experimental group is shorter, bleeding volume during operation and transfusion volume are less（P0.05）. Compare with control group, the incidence of agitation sedation after general anesthesia, tachycardia, elevation of blood pressure are lower（P0.05）.Conclusion： Treat the patients accepted radical resection of rectal carcinoma under laparoscope will shorten operative time, reduce bleeding volume during operation and transfusion volume, prevent agitation sedation after general anesthesia, tachycardia and elevation of blood pressure effectively.

关 键 词：护理干预 腹腔镜 直肠癌 全麻复苏期躁动 

分 类 号：R47[医药卫生—护理学]