基于前馈控制的干预模式对全身麻醉患者苏醒质量的影响  

The Effect of Feedforward-Control-Based Intervention Model on the Recovery Quality of Patients Under General Anesthesia

作　　者：鲁文静[1] 陈林浩 王春梦 LU Wenjing;CHEN Linhao;WANG Chunmeng(Department of Anesthesiology,Zhengzhou Third People's Hospital,Zhengzhou Henan 450000)

机构地区：[1]郑州市第三人民医院麻醉科,河南郑州450000 [2]郑州大学第三附属医院手术室,河南郑州450000

出　　处：《医学临床研究》2025年第3期401-404,共4页Journal of Clinical Research

摘　　要：【目的】探讨基于前馈控制的干预模式在全身麻醉患者中的应用效果。【方法】行全身麻醉的110例患者,随机分为对照组和观察组,每组55例。对照组行常规麻醉,观察组行基于前馈控制的麻醉干预,两组均干预24 h。比较两组麻醉情况,复苏3 min、30 min生命体征变化,干预期间不良反应发生情况。【结果】干预后,观察组苏醒期躁动总发生率为7.28%,低于对照组的21.81%(P<0.05),观察组患者气管插管拔除时间、定向力恢复时间、麻醉恢复室停留时间、自主呼吸恢复时间、睁眼时间均短于对照组(P<0.05),意识清醒程度、肢体活动程度、呼吸畅通程度评分及苏醒质量总分均高于对照组(P<0.05);两组复苏30 min时收缩压(SBP)、舒张压(DBP)、心率(HR)较复苏3 min时均降低(P<0.05),且观察组低于对照组(P<0.05)。干预期间,观察组患者的不良反应总发生率为10.91%,低于对照组的34.55%(P<0.05)。【结论】基于前馈控制的干预模式用于全身麻醉中,可改善患者的苏醒质量,促进麻醉后身体各项机能、生命体征的恢复,降低不良反应和苏醒期躁动发生率,且具有较高的安全性。【Objective】To investigate the application of a feedforward-control-based intervention model in patients under general anesthesia.【Methods】A total of 110 patients undergoing general anesthesia were randomly divided into the control group(n=55)and the observation group(n=55).The control group received conventional anesthesia,while the observation group received anesthesia intervention based on feedforward control.Both groups were intervened for 24 hours.The anesthesia conditions,vital signs at 3 minutes and 30 minutes after recovery,and adverse reactions during the intervention were compared between the two groups.【Results】After the intervention,the total incidence of agitation during the recovery period in the observation group was 7.28%,which was lower than the 21.81%in the control group(P<0.05).The observation group showed shorter times for extubation,recovery of orientation,staying in the post-anesthesia care unit(PACU),restoration of spontaneous breathing,and eye-opening compared to the control group(P<0.05).The levels of consciousness,limb activity,airway patency,and total recovery quality score in the observation group were significantly higher in the control group(P<0.05).At 30 minutes after recovery,the systolic blood pressure(SBP),diastolic blood pressure(DBP),and heart rate(HR)in both groups were lower than those at 3 minutes after recovery(P<0.05),with the observation group showing lower values compared to the control group(P<0.05).The total incidence of adverse reactions during the intervention was 10.91%in the observation group,which was lower than the 34.55%in the control group(P<0.05).【Conclusion】The feedforward-control-based intervention model used in general anesthesia improves the recovery quality of patients,promotes the restoration of various physiological functions and vital signs after anesthesia,reduces the incidence of adverse reactions and recovery period agitation,and has higher safety.

关 键 词：麻醉 全身 麻醉恢复期 护理 

分 类 号：R614.2[医药卫生—麻醉学]