小儿先天性髋关节脱位手术围术期麻醉护理配合的临床研究  

Clinical study on perioperative anesthesia nursing cooperation in children with congenital dislocation of hip

作　　者：陈丽萍[1] 樊超[2] 段华 CHEN Li-ping;FAN Chao;DUAN HuaOperating Room(Department of Anesthesiology,Zhengzhou 450052,Henan,CHINA;Zhengzhou Orthopedic Hospital,Zhengzhou 450052,Henan,CHINA)

机构地区：[1]郑州市骨科医院手术室,河南郑州450052 [2]郑州市骨科医院麻醉科,河南郑州450052

出　　处：《海南医学》2025年第4期594-598,共5页Hainan Medical Journal

基　　金：河南省科技攻关项目(编号:LHGJ20200758)。

摘　　要：目的研究小儿先天性髋关节脱位(CDH)手术围术期麻醉护理配合的临床效果。方法选择2020年2月至2023年10月于郑州市骨科医院行手术治疗的104例CDH患儿作为研究对象,按随机数表法分为研究组和对照组各52例,对照组患儿选择围术期常规护理,研究组患儿在对照组基础上进行麻醉护理配合。比较两组患儿麻醉诱导配合度,以及入手术室、气管插管、切皮、入复苏室及麻醉清醒时的呼吸频率及心率,比较两组患儿麻醉复苏时间(苏醒、拔管和复苏室停留的时间)及并发症发生情况。结果研究组患儿的麻醉诱导总配合度为92.31%,明显高于对照组的76.92%,差异有统计学意义(P<0.05);研究组患儿入手术室时的心率、呼吸频率分别为(112.73±11.23)次/min、(26.19±1.22)次/min,与对照组的(111.08±11.69)次/min、(26.28±1.31)次/min比较差异均无统计学意义(P>0.05);两组患儿气管插管、切皮时的心率及呼吸频率均高于入手术室时,差异均有统计学意义(P<0.05),但研究组患儿气管插管时心率、呼吸频率分别为(117.04±10.94)次/min、(28.03±1.40)次/min,与对照组的(118.05±10.74)次/min、(28.45±1.60)次/min比较差异均无统计学意义(P>0.05);研究组患儿切皮时心率、呼吸频率分别为(116.62±10.35)次/min、(28.64±1.59)次/min,与对照组的(117.02±10.63)次/min、(28.84±1.42)次/min比较差异均无统计学意义(P>0.05);研究组患儿苏醒、拔管及复苏室停留时间分别为(8.71±2.19)分、(9.14±2.74)分、(25.46±3.73)分,明显短少于对照组的(10.19±3.07)分、(12.28±3.12)分、(29.65±4.70)分,差异均有统计学意义(P<0.05);研究组患儿的并发症总发生率为5.77%,明显低于对照组的21.15%,差异有统计学意义(P<0.05)。结论CDH围术期麻醉护理配合能够提高患儿麻醉诱导配合度,加快术后苏醒,并可降低并发症发生风险。Objective To study the clinical effect of perioperative anesthesia nursing cooperation in children with congenital dislocation of hip(CDH).Methods A total of 104 children with CDH who underwent surgical treatment in Zhengzhou Orthopedic Hospital from February 2020 to October 2023 were selected and randomly divided into a study group and a control group,with 52 patients in each group.The children in the control group received routine perioperative care,while those in the study group received anesthesia nursing in addition to routine perioperative care.The cooperation in anesthesia induction were compared between the two groups,as well as the respiratory rate and heart rate at various time points(entering the operating room,tracheal intubation,skin incision,entering the recovery room,and awake from anesthesia),anesthesia recovery time(time of awakening,extubation,and resuscitation room stay),and com-plications.Results The cooperation degree of anesthesia induction in the study group was 92.31%,which was signifi-cantly higher than 76.92%in the control group(P<0.05).The heart rate and respiratory rate of children when entering the operating room in the study group were(112.73±11.23)times/min and(26.19±1.22)times/min,as compared with(111.08±11.69)times/min and(26.28±1.31)times/min in the control group(P>0.05).The heart rate and respiratory rate during tracheal intubation and skin resection in the two groups were higher than those at entering the operating room(P<0.05).The heart rate and respiratory rate during tracheal intubation in the study group were(117.04±10.94)times/min and(28.03±1.40)times/min,as compared with(118.05±10.74)times/min and(28.45±1.60)times/min in the control group(P>0.05).The heart rate and respiratory rate of children at skin incision in the study group were(116.62±10.35)times/min and(28.64±1.59)times/min,as compared with(117.02±10.63)times/min and(28.84±1.42)times/min in the control group(P>0.05).The time of awakening,extubation,and resuscitation room stay in the study group were(8.7

关 键 词：小儿 先天性髋关节脱位 麻醉护理 血流动力学 复苏 并发症 

分 类 号：R473.72[医药卫生—护理学]