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目的分析麻醉苏醒期间患者出现心律失常的情况,并采取相应的观察护理措施,保证患者安全返回病房。方法回顾性分析2012年9月-2013年7月进入麻醉苏醒室的18 931例年龄16~84岁的全身麻醉术后患者,观察心律失常的发生率,并记录患者的临床表现。结果 18 931例全身麻醉术后患者中发生心律失常269例,发生率为1.42%,给予护理干预及用药后20 min,心律失常患者的收缩压、心动过缓心率、心动过速心率与处理前相比明显改善(P<0.05)。结论及时发现麻醉苏醒期间患者发生的心律失常,分析原因并给予及时的镇痛和抗心律失常治疗,能有效改善患者的循环状态,保证患者麻醉苏醒期间的安全。
Objective To analyze the situation of arrhythmia in anesthesia during recovery and to take corresponding nursing measures to ensure the safety of patients returning to ward. Methods A retrospective analysis of 18 931 patients aged 16-84 years after anesthesia entering the anesthesia recovery room from September 2012 to July 2013 was performed. The incidence of arrhythmia was observed and the clinical manifestations were recorded. Results A total of 269 cases of arrhythmia occurred in 18 931 patients after general anesthesia, the incidence was 1.42%. After nursing intervention and 20 minutes after treatment, systolic blood pressure, bradycardia, tachycardia, Compared with the significant improvement (P <0.05). Conclusions The timely detection of arrhythmia in patients during anesthesia recovery, analysis of the causes and the timely administration of analgesic and antiarrhythmic drugs can effectively improve the circulatory status of patients and ensure the safety during anesthesia recovery.