音频指导呼吸在全身麻醉术后老年患者苏醒期的应用  

Application of audio-guided breathing in the emergence period of elderly patients after general anesthesia

作　　者：甘晓 杨一兰[1] 罗颖丽[1] 沈凯 Gan Xiao;Yang Yilan;Luo Yingli;Shen Kai(Department of Anesthesiology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院麻醉科,广西南宁530021

出　　处：《护理学杂志》2025年第5期48-50,56,共4页Journal of Nursing Science

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210779);广西医科大学第一附属医院护理临床研究攀登计划天使启明星计划项目(YYZS2021007)。

摘　　要：目的探讨音频指导呼吸在老年患者全身麻醉术后苏醒期中的应用效果。方法采用便利抽样法选择110例全身麻醉手术后转入麻醉后监测治疗室(PACU)的老年患者为研究对象,按入PACU时间先后分为对照组和观察组各55例。对照组予常规气管拔除后PACU护理,观察组在对照组基础上使用音频指导患者进行深呼吸。比较两组动脉血气指标、PACU停留时间、气管导管拔除1、5、10、15 min时的呼吸频率。结果观察组患者动脉血气指标(PaO_(2)、PaCO_(2)、SaO_(2))、PACU停留时间、气管导管拔除不同时间呼吸频率优于对照组,差异有统计学意义(均P<0.05)。结论对全麻术后苏醒期拔除气管导管的老年患者,应用音频指导呼吸可促进自主呼吸功能恢复,缩短PACU停留时间,提升苏醒质量。Objective To explore the effect of audio-guided breathing in the emergence period of elderly patients after general anesthesia.Methods By convenience sampling,110 patients transferred to post-anesthesia care unit(PACU)after surgery under general anesthesia were selected and divided into an observation group and a control group,with 55 cases in each group.The control group received routine nursing care for extubation in PACU,while the observation group were given deep breathing instruction by audio on the basis of the control group.Arterial blood gas indexes,the length of stay in the PACU,respiratory rate(RR)at 1 min,5 min,10 min,15 min after extubation were compared between the two groups.Results The results of arterial blood gas(PaO_(2)、PaCO_(2)、SaO_(2)),the length of stay in the PACU,RR at 1,5,10,15 min after extubation in the observation group were better than those in the control group(all P<0.05).Conclusion For the elderly patients after extubation during the emergence period after general anesthesia,audio-guided breathing can promote the recovery of spontaneous respiratory function,reduce the length of stay in the PACU,improve the quality of recovery and enhance the sense of experience.

关 键 词：老年患者 全身麻醉 苏醒期 音频指导 呼吸频率 动脉血气 血氧饱和度 麻醉护理 

分 类 号：R472.3[医药卫生—护理学]