早期吸痰对妇科手术患者全麻拔管期血氧饱和度及心血管应激反应的影响  

Effect of early sputum suction on oxygen saturation and cardiovascular stress response during extubation of general anesthesia in patients undergoing gynecological surgery

作　　者：辛翠仪 李尉兰 XIN Cui-yi;LI Yu-lan(Department of Anesthesia, Foshan Nanhai District Maternal and Child Health Hospital, Foshan 528200, China)

机构地区：[1]佛山市南海妇幼保健院麻醉科手术室

出　　处：《中国现代药物应用》2019年第19期128-130,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨早期吸痰对妇科手术患者全身麻醉(全麻)拔管期血氧饱和度及心血管应激反应的影响。方法 84例行妇科手术患者,按照随机数字表法分为对照组和观察组,每组42例。对照组患者给予常规吸痰处理,观察组患者给予早期吸痰处理。比较两组患者血氧饱和度、心血管应激反应指标、躁动发生情况。结果拔管前,两组患者血氧饱和度、收缩压、舒张压、心率水平比较,差异无统计学意义(P>0.05);拔管即刻、拔管后5 min,两组患者血氧饱和度均较本组拔管前降低,收缩压、舒张压、心率均较本组拔管前升高,但观察组血氧饱和度高于对照组,收缩压、舒张压、心率低于对照组,差异具有统计学意义(P<0.05)。观察组患者躁动发生率为7.14%(3/42),低于对照组的23.81%(10/42),差异具有统计学意义(P<0.05)。结论早期吸痰处理可有效维持行妇科手术患者全麻拔管期血氧饱和度的稳定,降低心血管应激反应,避免患者出现躁动。Objective To discuss the effect of early sputum suction on oxygen saturation and cardiovascular stress response during extubation of general anesthesia in patients undergoing gynecological surgery. Methods A total of 84 patients undergoing gynecological surgery were divided by random number table method into control group and observation group, with 42 cases in each group. The control group received routine sputum suction, and the observation group received early sputum suction. Comparison was made on blood oxygen saturation, cardiovascular stress response indicators, and occurrence of restlessness between the two groups. Results Before extubation, there was no statistically significant difference in blood oxygen saturation, systolic blood pressure, diastolic blood pressure and heart rate between the two groups (P>0.05). At immediately after extubation and 5 min after extubation, both groups had lower blood oxygen saturation, and higher systolic blood pressure, diastolic blood pressure and heart rate than those before extubation. But the observation group had higher blood oxygen saturation than that of the control group, and lower systolic blood pressure and diastolic blood pressure than those of the control group, and the difference was statistically significant (P<0.05). The observation group had lower incidence of restlessness as 7.14%(3/42) than 23.81%(10/42) in the control group, and the difference was statistically significant (P<0.05). Conclusion Early sputum suction can effectively maintain the stability of oxygen saturation in patients undergoing gynecological surgery during general anesthesia extubation, reduce cardiovascular stress response and avoid restlessness.

关 键 词：妇科手术 早期吸痰 全身麻醉 血氧饱和度 心血管应激反应 

分 类 号：R473.71[医药卫生—护理学]