麻醉复苏护理结合综合保温干预对老年全身麻醉患者苏醒质量的影响  

Effect of anesthetic resuscitation nursing combined with comprehensive insulation intervention on recovery quality from general anesthesia in the elderly patients

作　　者：万盈峰 魏小龙[1] 刘婷[2] WAN Yingfeng;WEI Xiaolong;LIU Ting(Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000;Department of Neurosurgery,Central South Hospital,Wuhan University,Wuhan 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430000 [2]武汉大学中南医院神经外科,湖北武汉430000

出　　处：《麻醉安全与质控》2021年第4期227-231,共5页Perioperative Safety and Quality Assurance

基　　金：华中科技大学同济医学院附属同济医院中青年基金项目(2018C16)。

摘　　要：目的分析麻醉复苏护理结合综合保温干预对老年全身麻醉患者苏醒期生命体征波动、应激反应及苏醒质量的影响。方法选取2018-01/2020-01期间于我院收治的95例老年全身麻醉患者,采用随机数字表法分为对照组(n=46)和研究组(n=49),对照组采用常规护理,研究组应用麻醉复苏护理结合综合保温干预。对比2组患者苏醒期生命体征波动、应激反应、苏醒质量及并发症。结果两组患者苏醒期收缩压(SBP)、舒张压(DBP)、心率(HR)等生命体征指标明显升高,但研究组患者苏醒期各指标较对照组低(P<0.05);研究组苏醒期体温与术前比较无统计学意义(P>0.05),而对照组苏醒期体温明显低于术前及同期研究组(P<0.05);苏醒期2组C反应蛋白、肾上腺素、去甲肾上腺素均较前升高,但研究组提升水平较对照组低(P<0.05);2组患者苏醒时间及苏醒期意识、舒适度评分明显优于对照组(P<0.05);研究组患者并发症总发生率明显低于对照组(P<0.05)。结论对老年全身麻醉患者予以麻醉复苏护理结合综合保温干预可降低患者苏醒期生命体征波动,减轻患者应激反应,苏醒质量高,并发症发生率低,值得临床推广。Objective To analyze the effect of anesthetic resuscitation nursing combined with comprehensive insulation intervention on the vital sign fluctuation, stress response and the quality of recovery during the recovery period in elderly patients under general anesthesia. Methods A total of 95 elderly patients with general anesthesia admitted to our hospital from January 2018 to January 2020 were selected and divided into the control group(n=46), receiving conventional nursing intervention, and the experimental group(n=49), receiving anesthetic resuscitation nursing combined with comprehensive insulation intervention, according to random number table method. Vital sign fluctuations, stress response, quality of recovery and complications during the recovery period were compared between the two groups. Results The systolic blood pressure(SBP), diastolic blood pressure(DBP), heart rate(HR) and other vital signs indicators of patients in the two groups during the recovery period significantly increased, but the indicators of the experimental group during the recovery period were lower than those of the control group(P<0.05). There was no significant difference in body temperature in the experimental group between recovery period and the preoperative period(P>0.05).while the body temperature of the control group during the recovery period was significantly lower than that before operation and lower than that of experimental group in the same period(P<0.05).The levels of C-reactive protein, epinephrine, and norepinephrine in the two groups during the recovery period were higher than those before the operation, but the improvement of the experimental group was lower than that of the control group(P<0.05).The awakening time and consciousness and comfort scores of experimental group were significantly better than those of the control group(P<0.05).The total incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05). ConclusionAnesthetic resuscitation nursing combined wit

关 键 词：全身麻醉 麻醉复苏 综合保温干预 影响 

分 类 号：R473.6[医药卫生—护理学]