全麻术后谵妄在苏醒期的识别与护理进展  

Identification and nursing progress of postoperative emergence delirium after general anesthesia

作　　者：陈红[1] 胡军[1] 周娟[1] 李芹[1] 张野[1] CHEN Hong;HU Jun;ZHOU Juan;LI Qin;ZHANG Ye(Department of Anesthesiology,The Second Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院麻醉科,安徽合肥230601

出　　处：《麻醉安全与质控》2021年第4期242-247,共6页Perioperative Safety and Quality Assurance

基　　金：安徽省重点研究与开发计划项目(201904a07020065)。

摘　　要：苏醒期谵妄(ED)是一种发生于全身麻醉苏醒期的精神运动性躁动和谵妄,一般在全身麻醉苏醒后45 min内发生,常见于麻醉恢复室(PACU)患者。在PACU期间出现全麻ED,严重影响手术后效果和患者预后,同时全麻ED也是患者发生术后谵妄(POD)的一个重要预测指标,因此,在PACU早期对患者进行谵妄的识别与干预,对于防止POD进展,提高围术期医疗质量具有重要的意义。本文就近年来有关ED的诊断、危险因素及护理的最新进展做以下综述,为ED的早期识别与护理实践提供参考。Emergence delirium(ED)is a psychomotor agitation and delirium that occurs during the awakening period from general anesthesia.It usually occurs within 45 minutes after awakening from general anesthesia.It is common in the post-anesthesia care unit(PACU).Delirium during awakening from general anesthesia in PACU severely affects surgical results and prognosis of patients.Consequently,ED is also an important predictor of post-operative delirium(POD)in patients.The identification and intervention of ED is valuable for preventing the progression of postoperative delirium and improving the quality of perioperative medical care.This article summarizes the latest developments in the diagnosis,risk factors and nursing of ED in recent years,and provides references for early identification and nursing practice of ED.

关 键 词：苏醒谵妄 术后谵妄 麻醉恢复室 麻醉药 全身 

分 类 号：R473.6[医药卫生—护理学]