摘要
目的探讨PDCA循环对麻醉后复苏的影响。方法选取围麻醉期(麻醉前、麻醉和麻醉后)实施PDCA循环前后各120例行气管插管全麻手术患者,比较2组患者麻醉复苏期间拔管时间、睁眼时间、离开麻醉后复苏(PACU)时间、疼痛评分和苏醒期恶心呕吐、低血压和低氧等不良反应发生率。结果同实施PDCA循环前比较,实施PDCA后患者恢复期拔管时间、睁眼时间、离开PACU时间显著缩短(P<0.05),疼痛评分显著降低(P<0.05),恶心呕吐、低血压和低氧发生率也显著降低(P<0.05)。结论应用PDCA循环进行围麻醉管理改善了全麻后恢复质量,降低了患者并发症发生率。
Objective To explore the effect of PDCA circulation on anesthesia resuscitation of patients in perianesthesia. Methods A total of 120 patients before implementation of PDCA cir- culation and another 120 patients after PDCA circulation undergoing general anesthesia with tra- cheal intubation in perianesthesia were collected in the research. Extubation time, eye opening time, resuscitation time after discharge from PACU, pain score and incidence of complications in- cluding nausea and vomiting, hypotension and hypoxia during anesthetic resuscitation were com- pared. Results Extubation time, eye opening time and resuscitation time after discharge from PACU after PDCA circulation were shorter than PDCA circulation before （P 〈 0.05）. Pain score was significantly lower （P〈 0.05）. The incidence of nausea, vomiting, hypotension and hypoxia were significantly higher （P 〈 0.05）. Conclusion PDCA cycle during perianesthetic period can improve the quality of general anesthesia resuscitation and reduce the incidence of complications.
出处
《实用临床医药杂志》
CAS
2015年第2期123-124,127,共3页
Journal of Clinical Medicine in Practice
关键词
PDCA循环
全麻
复苏
不良反应
PDCA cycle
general anesthesia
resuscitation
adverse reaction
