摘要
目的探讨婴幼儿术中应用异丙酚复合瑞芬太尼麻醉后恢复期的疗效及护理体会。方法将全身麻醉下行择期手术的患儿710例随机分为试验组360例和对照组350例。试验组麻醉后予以生命体征管理、呼吸道护理、躁动及误吸护理等,对照组予以一般术后护理。结果试验组的呼吸恢复时间、意识恢复时间、拔管时间和离开恢复室时间分别为（9.78±1.25）min,（13.27±2.54）min,（16.80±3.29）min,（54.16±10.32）min,均显著短于对照组的（11.19±1.63）min,（17.36±3.57）min,（23.55±3.64）min,（59.81±11.26）min（P〈0.01）。两组患儿T2-T6的心率均显著高于T1,氧饱和度均显著低于T1（P〈0.05）;试验组T2-T6的平均动脉压和心率均显著低于对照组（P〈0.05）。两组患儿T4-T6的苏醒期躁动评分（RS）显著高于T3,镇静评分（RSS）显著低于T3（P〈0.05）;试验组T3-T6的RS显著低于对照组,RSS显著高于对照组（P〈0.05）。试验组麻醉后恢复期并发症发生率为28.89%,显著低于对照组的37.14%（χ^2=32.368 5,P〈0.01）。结论加强麻醉后恢复期护理和监护可以稳定患儿的生命体征,促进其苏醒,避免躁动发生,降低术后麻醉并发症发生率。
Objective To investigate the nursing experience during the recovery period in infantile intraoperative remifentanil combined with propofol anesthesia.Methods 710 children patients undergoing elective operation under general anesthesia in our department during 2012-2013 were selected and randomly divided into the experimental group（n = 360） and control group（n = 350）.The experimental group was given the vital signs management,respiratory tract nursing,restlessness and aspiration nursing after anesthesia; the control group received the ordinary postoperative nursing.The postoperative recovery time,changes of vital signs at different time points,restlessness score and sedation score and incidence rate of complications during the recovery period after anesthesia were compared between the two groups.Results The breathing recovery time,consciousness recovery time,extubation time and time leaving the recovery room in the experimental group were（9.78 ± 1.25） min,（13.27 ± 2.54） min,（16.80 ± 3.29） min and（54.16 ± 10.32） min respectively,which significantly shorter than（11.19 ± 1.63） min,（17.36 ± 3.57） min,（23.55 ± 3.64） min and（59.81 ± 11.26） min in the control group respectively（P〈0.01）.Theheart rate（HR） at T2-T6 in the two groups were significantlyhigher than that at 10 min before the end of surgery,SpO2 was significantly lower than that at 10 min before the end of surgery（P〈0.05）; MAP and HR at T2-T6 in the experimental group were significantly lower than those in the control group（P〈0.05）.RS at T4-T6 was significantlyhigher than that at T3,while RSS was significantly lower than that at T3（P〈0.05）; RS at T3-T6 in the experimental group was significantly lower than that in the control group,while RSS was significantlyhigher than that in the control group（P〈0.05）.The incidence rate of complications during recovery period after anesthesia in the experimental group was 28.89%,which was significantly lower than37.14% in the control group（χ^2= 32.368 5,P〈0.01）.Conclusion Strengthening the nursing and monitoring during the recovery period after anesthesia can stabilize the vital signs of the children patients,promotes them to waken,avoids the restlessness occurrence and reduces the incidence rate of postoperative anesthetic complications.
出处
《中国药业》
CAS
2015年第11期88-90,共3页
China Pharmaceuticals
基金
2014年秦皇岛市科学技术研究与发展计划(第一批)项目
项目编号:201401A182
关键词
婴幼儿
异丙酚
瑞芬太尼
麻醉后恢复期
护理
infants
propofol
remifentanil
recovery period after anesthesia
nursing
