麻醉监护一体化管理在苏醒室的应用  

The Application of Anesthetic Care Integrated Management Mode in the Postanesthesia Care Unit

作　　者：吴平蕾 王充 WU Pinlei;WANG Cong(The People's Hospital of Yuhuan,Zhejiang 317600,China)

机构地区：[1]玉环市人民医院,浙江玉环317600

出　　处：《浙江医学教育》2020年第3期51-54,共4页Zhejiang Medical Education

基　　金：浙江省玉环市科研基金项目(编号:201733)。

摘　　要：目的:探讨麻醉监护一体化管理在苏醒室的应用效果。方法:将100例麻醉术后患者按照就诊顺序均分为研究组和对照组。对照组行常规苏醒室麻醉管理,研究组行麻醉监护一体化管理。比较2组出室麻醉苏醒Steward、苏醒室Aldret评分、交接和复苏时间、不良事件和并发症发生率情况。结果:研究组交接时间(2.14±0.57分)、复苏时间(6.12±1.03分)、不良事件发生率(4%)和并发症发生率(14%)均低于对照组(5.26±1.04,12.35±2.47,10%,24%),差异有统计意义(P<0.05)。研究组Steward评分(5.24±0.63分)、Aldret评分(9.17±0.42分)高于对照组(4.32±0.19,8.25±0.19分),但差异无统计意义(P>0.05)。结论:麻醉监护一体化管理在不降低苏醒室麻醉患者Steward、Aldret评分的前提下,可缩短交接、复苏时间,降低不良事件和并发症发生率,有利于生理功能恢复,值得推广。[Objective]To investigate the application of anesthetic care integrated management mode in the postanesthesia care unit.[Method]100 anesthesia patients were randomly divided into two groups according to curing time sequence.The control group were given conventional PACU anesthetic care,while the research group were given anesthetic care integrated management.The Steward, Aldret score, handover, recovery time, unsafe events and complication rate in the two groups were compared.[Result]The handover(2.14±0.57 min), recovery time(6.12±1.03 min), unsafe events(4%) and complication rate(14%) in research group were lower than those of the control group(5.26±1.04,12.35±2.47, 10% and 24%,respectively).The differences were statistically significant(P<0.05).The Steward score(5.240.63) and Aldret score(9.17±0.42) in the research group were higher than those of the control group(4.32±0.19 and 8.25±0.19),but the differences were no statistically significant.[Conclusion]The anesthetic care integrated management model can improve Steward and Aldret scores,shorten handover and recovery time,reduce the incidence of unsafe events and complications,facilitate the recovery of physiological functions,which is worthy of promotion.

关 键 词：麻醉监护一体化 麻醉管理 麻醉后苏醒室 

分 类 号：R614[医药卫生—麻醉学]