摘要
目的观察麻醉苏醒室(PACU)全身麻醉患者低血压的发生率及处理前后的血压比较并分析原因。方法将2012年9月-2013年7月全身麻醉术后进入PACU的18 931例患者资料进行回顾性分析,观察其低血压的发生率,同时比较低血压处理前后的血压变化情况。结果术后麻醉苏醒期低血压发生例数62例,发生率0.33%,其中1例数据丢失;发生麻醉苏醒期低血压的患者以腹部手术患者最多,构成比为41.9%;处理后比处理前收缩压、舒张压和呼吸频率均有明显改善(P<0.05)。结论对进入PACU的患者应进行全面评估并在PACU期间进行严密观察其病情及生命体征变化,及时发现、处理患者的低血压,保证患者在PACU期间的安全。
Objective To observe the incidence of hypotension in general anesthesia patients in post anesthesia care unit（PACU）, compare the blood pressure before and at er treatment, and analyze hypotension causes. MethodsBetween September 2012 and July 2013, data of 18 931 patients in PACU at er general anesthesia were retrospectively analyzed for the incidence of hypotension. At the same time, the change of blood pressure was also detected before and at er treatment. Results Sixty-two patients had hypotension during the anesthesia recovery period at er general anesthesia. h e incidence was 0.33%. h e proportion was the highest among patients who underwent abdominal surgery, reaching 41.9%. Systolic pressure and diastolic pressure improved signii cantly at er treatment（P〈0.05）. Conclusion It is important to perform comprehensive evaluation of vital signs, closely observe disease conditions and vital sign changes, i nd out and manage low blood pressure for patients in PACU, which secure their safety.
出处
《华西医学》
CAS
2015年第12期2295-2298,共4页
West China Medical Journal
关键词
麻醉苏醒期
低血压
护理
Anesthesia recovery period
Hypotension
Nursing
