综合保温护理在全身麻醉患者中的应用效果  

Application effects of comprehensive heat preservation nursing in patients with general anesthesia

作　　者：刘婷婷 LIU Tingting(Department of Anesthesiology of Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000 Henan,China)

机构地区：[1]郑州大学附属洛阳中心医院麻醉科,河南洛阳471000

出　　处：《中国民康医学》2025年第5期191-193,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察综合保温护理在全身麻醉患者中的应用效果。方法:选取2021年5月至2022年8月该院94例接受全身麻醉的患者进行前瞻性研究,按照随机数字表法将其分为对照组(n=47)和研究组(n=47)。对照组采用常规护理,研究组在对照组基础上采用综合保温护理,比较两组围手术期指标(自主呼吸恢复时间、完全苏醒时间、气管拔管时间、麻醉复苏室停留时间)水平、手术前后应激反应指标[心率、收缩压(SBP)、舒张压(DBP)、肾上腺素(AD)、去甲肾上腺素(NE)]水平和术后3 d并发症发生率。结果:研究组自主呼吸恢复时间、完全苏醒时间、气管拔管时间、麻醉复苏室停留时间均短于对照组,差异有统计学意义(P<0.05);苏醒后,两组心率、SBP、DBP、AD和NE水平均高于术前,但研究组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:综合保温护理应用于全身麻醉患者可改善围手术期指标水平,降低应激反应指标水平,效果优于常规护理。Objective:To observe application effects of comprehensive heat preservation nursing in patients with general anesthesia.Methods:A prospective study was conducted on 94 patients undergoing general anesthesia in the hospital from May 2021 to August 2022.According to the random number table method,they were divided into control group(n=47) and study group(n=47).The control group was given routine nursing,while the study group was given the comprehensive heat preservation nursing on the basis of that of the control group.The levels of perioperative indexes(spontaneous breathing recovery time,complete recovery time,tracheal extubation time,anesthesia resuscitation room stay time)and stress response indexes [heart rate,systolic blood pressure(SBP),diastolic blood pressure(DBP),epinephrine(AD),norepinephrine(NE)] before and after the surgery,and the incidence of complications 3 days after the surgery were compared between the two groups.Results:The spontaneous breathing recovery time,the complete recovery time,the tracheal extubation time and the anesthesia resuscitation room stay time in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After awakening,the levels of heart rate,SBP,DBP,AD and NE in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The application of comprehensive heat preservation nursing in the patients with general anesthesia can reduce the levels of perioperative indexes and stress response indexes.Moreover,it is superior to the routine nursing.

关 键 词：全身麻醉 综合保温护理 应激反应 并发症 

分 类 号：R473.6[医药卫生—护理学]