摘要
分析１９９５年８月至１９９６年１１月麻醉恢复室接收４３３例病人的情况，以期了解手术后麻醉恢复期护理的特点。其中男性４０．６％，女性５９．４％，平均年龄５４．１±１４．７岁（６～８２岁），平均停留时间４４ｍｉｎ（５～２６５ｍｉｎ），９８．８％的病人平稳恢复后送回病房，１．２％的病人转入ＳＩＣＵ。实施麻醉方法除６例为连续硬膜外麻醉或腰麻外，余为全麻或强化麻醉。根据Ｒａｍｓａｙ评分法，入室时９５％以上病人５～６分，出室时９２％的病人是４分以下，所有病人血压、心率无显著变化，没有给予任何血管活性药物。入室时６３．３％的病人自主呼吸已经恢复。由于麻醉药和肌肉松弛药对中枢和呼吸肌的残留抑制作用，术后早期病人最易出现缺氧。因此全麻术后必须认真监测病人呼吸功能恢复情况，提高吸入氧浓度，根据病情需要保留气管导管，或短时间的机械通气，提高吸入氧浓度，以保证病人呼吸道通畅，避免ＣＯ２的潴留，特别是缺氧的发生。从观察病例可以看出，全麻术后未能立即清醒，平均约４５ｍｉｎ后意识方能满意恢复。
In order to understand the recovery characteristics of anesthetized patients after operation,analysis was done in 433 patients in our recovery room,from Aug.1995 to Nov.1996. Male patients accounted for 40.6%,female accrounted for 59.4% ,the average age is 54.1±14.7(6 to 82 years old).The average staying was 44 minutes (5 to 26.5 minutes) with 98.8% being sent back to the ward after stable recovery and 1.2% were transferred to SICU.All patients were administered with general and sedation anesthesia except for 6 cases who received continous epidural anesthesia or Spinal anesthesia.According to Ramsay's scoring criterion, by the time of admition,95% of the patients reached 5 or 6 mark.By the time of discharge 92% were mark of 4 or less.All patients showed no obvious changes in blood pressure and pulse,no vasoactive druges were given.From treating these cases it is obvious that after general anesthesia,patients were not very clear immediately after operation and it took an average of 45 minutes for them to recover to consciousness.Post operative patients are likely to suffer oxygen deficiency. Author's address Department of Anesthesiology,Frist Hospital,Beijing Medical University,China 100034.
出处
《中华护理杂志》
CSCD
北大核心
1998年第11期621-623,共3页
Chinese Journal of Nursing
关键词
麻醉
呼吸功能
护理
恢复期
Anesthesia Pulmonary function Nursing
