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目的探讨对腹部手术患者进行针对性麻醉苏醒期护理干预的效果。方法 191例全身麻醉下腹部手术的患者,随机分为对照组(95例)和研究组(96例)。对照组予以常规护理干预,研究组在常规护理基础上予以针对性麻醉苏醒期护理干预,治疗4周后,比较两组患者的血压、心率及躁动情况。结果研究组中发生躁动的患者共16例,对照组中发生躁动的患者共30例,且有2例躁动程度达到3分;研究组患者的躁动发生率为16.7%,明显低于对照组的31.6%,差异有统计学意义(P<0.05)。麻醉前两组患者血压值及心率比较差异无统计学意义(P>0.05);麻醉苏醒期,研究组患者的收缩压及舒张压均低于对照组,且心率(76.6±10.7)次/min明显少于对照组的(88.3±9.5)次/min,差异均有统计学意义(P<0.05)。结论腹部手术患者进行针对性麻醉苏醒期护理干预具有显著的效果,明显降低患者麻醉苏醒期的躁动发生率,有助于预防术后意外事件,值得临床推广。
Objective To investigate the effect of targeted nursing intervention in patients undergoing abdominal surgery. Methods A total of 191 patients undergoing total abdominal anesthesia under general anesthesia were randomly divided into control group (95 cases) and study group (96 cases). The control group was given routine nursing intervention. The study group was given the targeted anesthesia recovery nursing intervention on the basis of routine nursing. After 4 weeks of treatment, the blood pressure, heart rate and agitation of the two groups were compared. Results A total of 16 patients with agitation occurred in the study group, 30 patients in the control group had restlessness, and 2 patients had agitation degree of 3 points. The incidence of agitation in the study group was 16.7%, which was significantly lower than that in the control group 31.6%, the difference was statistically significant (P <0.05). There was no significant difference in blood pressure and heart rate between the two groups before anesthesia (P> 0.05). During the anesthesia recovery period, systolic and diastolic blood pressure were lower in the study group than in the control group, and the heart rate was 76.6 ± 10.7 times / min Significantly less than the control group (88.3 ± 9.5) times / min, the difference was statistically significant (P <0.05). Conclusions The patients undergoing abdominal surgery have a significant effect of targeted anesthesia during the awakening period nursing intervention, significantly reducing the incidence of agitation during anesthesia and awakening period, which is helpful to prevent postoperative accidents and is worthy of clinical promotion.