术后肌松残余阻滞作用的麻醉恢复护理相关研究进展  

Research Progress in Postanesthesia Care Unit Nursing of Postoperative Residual Neuromuscular Blockade

作　　者：张怡[1] 何苗[1] ZHANG Yi;HE Miao(Postanesthesia Care Unit,Peking University People’s Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院麻醉科PACU,北京100044

出　　处：《实用临床医学（江西）》2021年第3期100-103,共4页Practical Clinical Medicine

摘　　要：文章综述术后肌松残余阻滞作用的麻醉恢复护理相关研究进展,指出术后早期肌松残余阻滞引起的神经肌肉恢复不完全可能导致急性呼吸事件、气管拔管延迟、PACU停留时间延长、清醒病人出现令人不适的肌无力症状等,降低PACU的运行效率。建议PACU护理工作者密切关注肌松残余阻滞作用的危害,正确识别和及时处理肌松残余阻滞作用,了解肌松拮抗药物的注意事项。这是护理工作者加强病人安全管理、确保病人安全转出所必须掌握的技能。This paper reviews the research progress in postanesthesia care unit nursing of postoperative residual neuromuscular blockade,and points out that incomplete neuromuscular recovery caused by residual neuromuscular blockade in early postoperative period may lead to acute respiratory events,delayed tracheal extubation,prolonged PACU stay,and uncomfortable myasthenia symptoms in conscious patients,resulting in a decrease in PACU efficiency.It is suggested that nursing staff in PACU should pay close attention to the harm of residual neuromuscular blockade,correctly identify and timely deal with the residual blocking effect,and understand the precautions of muscle relaxant antagonists.These skills must be mastered by PACU nurses to strengthen the safety management of patients and to ensure the safe transfer of patients.

关 键 词：麻醉恢复 肌松残留 恢复程度 病人安全 综述 

分 类 号：R473.6[医药卫生—护理学]