多感官唤醒干预对全麻拔管后患者苏醒期和并发症的影响  

Effect of multi-sensory wake-up intervention on recovery period and complications of patients after extubation of general anesthesia

作　　者：张梦昀 ZHANG Meng-yun(Department of Anesthesiology and Surgery,Nanjing Drum Tower Hospital,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京鼓楼医院麻醉手术科,江苏南京210008

出　　处：《川北医学院学报》2024年第1期141-144,共4页Journal of North Sichuan Medical College

摘　　要：目的:探究多感官唤醒干预对全麻拔管后患者苏醒期和并发症的影响。方法:按照干预方式不同将240例全身麻醉手术后转入麻醉后苏醒室(PACU)观察的患者分为观察组及对照组,每组各120例。对照组予以传统语音唤醒干预;观察组予以多感官唤醒干预。比较两组苏醒相关时间指标、苏醒期基础体征[心率(HR)、平均动脉压(MAP)]及苏醒期并发症。结果:观察组自主呼吸恢复时间、PACU停留时间均短于对照组(P<0.05);观察组拔管10 min后HR、MAP水平均低于对照组(P<0.05);观察组苏醒期躁动(EA)、咽痛程度均轻于对照组(P<0.05);观察组恶心/呕吐发生率低于对照组(P<0.05)。结论:多感官唤醒干预可缩短全麻拔管后患者苏醒时间及PACU停留时间,稳定拔管后体征,减少并减轻苏醒后并发症,提高苏醒质量。Objective:To explore the effect of multi-sensory wake-up intervention on the recovery period and complications of patients after extubation of general anesthesia.Methods:240 patients who were transferred to PACU after general anesthesia were divided into observation group and control group according to different intervention methods,120 cases in each group.The control group was given traditional voice wake-up intervention,and the observation group was given multi-sensory wake-up intervention.The indexes of recovery time,basic signs[heart rate(HR),mean arterial pressure(MAP)]and complications during recovery period were compared between the two groups.Results:The spontaneous breathing recovery time and PACU stay time in the observation group were shorter than those in the control group(P<0.05).The levels of HR and MAP in the observation group were lower than those in the control group 10 min after extubation(P<0.05).The degree of emergence agitation(EA)and sore throat in the observation group was lighter than that in the control group(P<0.05).The incidence rate of nausea/vomiting in the observation group was lower than that in the control group(P<0.05).Conclusion:Multi-sensory awakening intervention can shorten the recovery time and PACU residence time of patients after extubation,stabilize the signs after extubation,reduce and reduce the complications after recovery,and improve the quality of recovery.

关 键 词：多感官唤醒 全身麻醉 麻醉后苏醒室 并发症 麻醉护理 

分 类 号：R614.2[医药卫生—麻醉学] R473.6[医药卫生—外科学]