强化麻醉恢复室控制措施对血管外科手术患者苏醒期麻醉恢复效果的影响  

Effect of control measures in intensive anesthesia recovery room on anesthesia recovery effect of vascular surgery patients during awakening

作　　者：张悦 李国利[1] 郭飞[2] Zhang Yue;Li Guoli;Guo Fei(Department of Anesthesiology,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,China;Vascular Glandular Surgery,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,China)

机构地区：[1]河北北方学院附属第一医院麻醉科,河北张家口075000 [2]河北北方学院附属第一医院血管腺体外科,河北张家口075000

出　　处：《血管与腔内血管外科杂志》2023年第4期475-479,共5页Journal of Vascular and Endovascular Surgery

基　　金：河北省2020年政府资助临床医学人才培养项目(翼卫办科教[2021]1号)。

摘　　要：目的 探讨强化麻醉恢复室控制措施对血管外科手术患者苏醒期麻醉恢复效果的影响。方法 收集2020年1月至2021年12月于河北北方学院附属第一医院接受血管外科手术治疗的100例患者的临床资料,根据麻醉恢复室干预措施的不同将患者分为观察组(于麻醉恢复阶段辅以强化麻醉恢复室控制措施)和对照组(于麻醉恢复阶段辅以传统麻醉恢复室干预措施),每组50例。比较两组患者苏醒期指标(呼之睁眼、呼之握拳、拔管及恢复自主呼吸时间)、不同时间(麻醉前、苏醒期)的生命体征[血压(收缩压、舒张压)、心率]、苏醒恢复阶段并发症发生情况及苏醒期躁动程度。结果 苏醒期,观察组患者呼之睁眼、呼之握拳、拔管及恢复自主呼吸时间均明显短于对照组患者(P﹤0.01)。苏醒期,观察组患者的心率、舒张压、收缩压均低于对照组患者(P﹤0.05)。对照组患者麻醉恢复阶段的并发症发生率为36.00%(18/50),高于观察组患者的16.00%(8/50)(P﹤0.05)。苏醒期,观察组患者的躁动总发生率、严重躁动发生率均低于对照组患者,无明显躁动的发生率高于对照组患者(P﹤0.05)。结论 对于进行血管外科手术治疗的患者,麻醉恢复阶段辅以强化麻醉恢复室控制措施可促进患者尽快恢复意识和自主呼吸,避免血压和心率出现过大的波动,并控制麻醉苏醒期躁动等并发症的发生,具有较高的应用价值,值得借鉴。Objective To explore the effect of control measures in intensive anesthesia recovery room on anesthesia recovery effect of vascular surgery patients during awakening.Method The clinical data of 100 patients who received vascular surgery in the First Affiliated Hospital of Hebei North University from January 2020 to December 2021 were collected.According to the different intervention measures in the anesthesia recovery room,the patients were divided into observation group(n=50,supplemented with control measures in intensive anesthesia recovery room during the anesthesia recovery stage)and control group(n=50,supplemented with conventional anesthesia recovery intervention measures during the anesthesia recovery stage).The time of awakening indicators(time required for opening eyes,clenching fists,extubation and recovery of spontaneous breathing),vital signs[blood pressure(systolic and diastolic blood pressure)and heart rate]at different times(before anesthesia and during awakening),incidence of complications during the recovery phase of awakening,and degree of restlessness during awakening were compared between two groups.Result During the awakening,the time required for patients in the observation group to open eyes,clench fists,extubate,and resume spontaneous breathing was significantly shorter than that of patients in the control group(P<0.01).The heart rate,diastolic and systolic blood pressure in the observation group were lower than those in the control group(P<0.05).The incidence rate of complications during the anesthesia recovery stage in the control group was 36.00%(18/50),which was higher than the 16.00%(8/50)in the observation group(P<0.05).During the awakening,the total incidence rate of agitation and the incidence rate of severe agitation in the observation group were lower than those in the control group,while the incidence rate of non-significant agitation was higher than that in the control group(P<0.05).Conclusion For patients undergoing vascular surgery,strengthening the control measures of the an

关 键 词：血管外科手术 强化麻醉恢复室控制措施 苏醒期 躁动 

分 类 号：R543[医药卫生—心血管疾病]