护理干预联合股神经阻滞减轻老年股骨骨折手术患者麻醉苏醒期躁动的效果  

Effect of Nursing Intervention Combined with Femoral Nerve Block on Reducing Agitation during Recovery from Anesthesia in Elderly Patients with Femoral Fracture Surgery

作　　者：罗俊青[1] 林颖[1] 陈霞[1] LUO Jun-qing;LIN Ying;CHEN Xia(Department of An-esthesiology,The Fourth Affiliated Hospital of Guangxi Medical University,Liuzhou,Guangxi,545005,China)

机构地区：[1]广西医科大学第四附属医院麻醉科,广西柳州545005

出　　处：《黑龙江医学》2022年第20期2534-2536,共3页Heilongjiang Medical Journal

基　　金：广西壮族自治区卫生健康委员会科研课题(Z20190478)。

摘　　要：目的:探讨护理干预联合股神经阻滞减轻老年股骨骨折手术患者麻醉苏醒期躁动的效果。方法:选取2019年9月-2021年3月广西医科大学第四附属医院收治的80例老年患者作为研究对象,择期静吸插管全身麻醉下行股骨骨折内固定手术,按照随机数表法分为对照组和观察组,每组各40例。对照组采用常规护理,观察组在常规护理基础上采取针对性护理干预联合股神经阻滞镇痛。两组患者术后均使用静脉自控镇痛泵,麻醉镇痛效果差时,追加芬太尼0.05 mg/次止痛。观察两组患者苏醒期躁动及镇痛剂使用情况。结果:观察组患者苏醒期发生躁动、躁动持续时间及躁动程度均低于对照组,差异有统计学意义(χ^(2)=5.000、3.253,t=13.699,P<0.05);观察组苏醒期顺利配合护士指令优于对照组,差异有统计学意义(χ^(2)=15.313,P<0.05);观察组镇痛剂使用率少于对照组,差异有统计学意义(χ^(2)=16.815,P<0.05)。结论:护理干预联合股神经阻滞用于全身麻醉老年股骨骨折手术患者,能够减少患者术后苏醒期躁动,减少镇痛剂使用,提高患者对护理的配合。Objective:To investigate the effect of nursing intervention combined with femoral nerve block on reducing agitation during recovery from anesthesia in elderly patients with femoral fracture surgery.Methods:A total of 80 elderly patients admitted to the hospital from September 2019 to March 2021 were selected as the research objects,and underwent elective intravenous suction intubation under general anesthesia for internal fixation of femoral fractures.They were divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received targeted nursing intervention combined with femoral nerve block analgesia on the basis of routine nursing.Both groups of patients were treated with intravenous patient-controlled analgesia pump after operation,and fentanyl 0.05 mg/time was added when the anesthesia and analgesia effect was poor.The restlessness and the use of analgesics during the recovery period of the two groups were observed.Results:The incidence of agitation,the duration of agitation,and the degree of agitation in the observation group were lower than those in the control group,and the differences were statistically significant(χ^(2)=5.000,3.253,t=13.699,P<0.05).The observation group had better cooperation with the nurses’instructions during the recovery period than the control group,and the difference was statistically significant(χ^(2)=15.313,P<0.05).The use rate of analgesics in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=16.815,P<0.05).Conclusion:Nursing intervention combined with femoral nerve block is used for general anesthesia in elderly patients with femoral fracture surgery,which can reduce patients’restlessness during postoperative recovery,reduce the use of analgesics,and improve patients’cooperation in nursing.

关 键 词：护理干预 股神经阻滞 老年 股骨手术 苏醒期躁动 

分 类 号：R473.6[医药卫生—护理学]