摘要
目的观察术前雾化吸入2%利多卡因和地塞米松混合液对气管插管全麻下声带息肉摘除术患者的护理疗效.方法选取2017年9月~2018年3月该院择期行支撑喉镜下声带息肉摘除术患者68例随机分为术前2%利多卡因4 ml加0.5%地塞米松2 ml的雾化吸入后气管插管全麻(观察组)和常规气管插管全麻(对照组),各34例.观察气管插管及手术过程中的血流动力学指标、气管拔管时Ricker镇静-躁动评分(Self-Rating Anxiety Scale,SAS)、气管导管拔管后15 min BCS舒适评分及苏醒时间.结果观察组患者较对照组术中血流动力学更平稳,差异有统计学意义(P<0.05);观察组患者的气管拔管时Ricker镇静-躁动评分(SAS)、气管导管拔管后15 min BCS舒适评分均显著优于对照组,差异有统计学意义(均P<0.05);两组患者的苏醒时间比较,差异无统计学意义(P>0.05).结论术前2%利多卡因4ml加0.5%地塞米松2 ml的混合液雾化吸入作为重要的预防性护理干预措施能减轻患者术中血流动力学波动、提高术后舒适度.
Objective To observe the nursing effect of 2% lidocaine and dexamethasone mixture in patients with vocal polyp extirpation under tracheal intubation.Methods From September 2017 to March 2018,68 patients who were selected to perform vocal cord polyp resection under supportive laryngoscope in the hospital were randomly divided into 4ml of 2% lidocaine before surgery and 2ml of 0.5% dexamethasone after atomization inhalation with tracheal intubation under general anesthesia(obseiwation group)and conventional tracheal intubation with general anesthesia(control group),34 cases of each group.The hemodynamic indexes of endotracheal intubation and operation,the Self-rating Anxiety Scale(SAS)of Ricker at trachea extubation,BCS comfort score and wake time 15 minutes after endotracheal tube extubation were obseived.Results The hemodynamics of the observation group was more stable than that of the control group,and the difference was statistically significant(P<0.05).Ricker SAS score during tracheal tube extubation and BCS comfort score 15 minutes after tracheal tube extubation in the observation group were significantly better than those in the control group,with statistically significant differences(P<0.05).There was no significant difference in the wake time between the two groups(P>0.05).Conclusions The atomization inhalation of 2% lidocaine 4ml and 0.5% dexamethasone mixture before operation as an important preventive nursing intervention can reduce the hemodynamic fluctuation and improve the postoperative comfort.
作者
练夏玲
黄庆清
杨春妮
Lian Xialing;Huang Qingqing;Yang Chunni(Anesthesia Department,Mindong Hospital Affiliated to Fujian Medical University,Fuan City of Fujian Province 355000,China;Physical Examination Center,Mindong Hospital Affiliated to Fujian Medical University,Fuan City of Fujian Province 355000,China)
出处
《国际护理学杂志》
2019年第21期3556-3559,共4页
international journal of nursing
关键词
雾化吸入
护理疗效
声带息肉摘除术
利多卡因
地塞米松
Atomization inhalation
Nursing effect
Vocal cord polyp extirpation
Lidocaine
Dexamethasone
