摘要
目的:探讨手术室护理干预对食管癌根治术患者麻醉苏醒期躁动及留置尿管耐受度的影响,为提高全身麻醉患者护理水平提供临床依据。方法:选取2013年8月至2015年8月在我院进行全身麻醉下行食管癌根治术患者80例,根据入院先后的顺序分为观察组和对照组各40例,对照组采取传统护理,观察组实施手术室护理干预,比较二者清醒时间、拔管时间、躁动发生情况及尿道刺激反应程度等。结果:两组患者麻醉时间、手术时间、术中输液量及术中出血量相似,差异无统计学意义(P>0.05)。观察组患者清醒时间(10.16±1.78)min、拔管时间(14.51±1.17)min,对照组患者清醒时间(12.24±1.82)min、拔管时间(16.70±1.23)min,差异有统计学意义(P<0.05)。观察组患者苏醒期躁动发生率及躁动程度均低于对照组,麻醉苏醒后观察组患者尿路刺激反应轻于对照组,差异有统计学意义(P<0.05)。结论:对食管癌根治术患者实施手术室护理干预,能促进麻醉后清醒、缩短拔管时间、减少苏醒期躁动发生率和程度,提高留置尿管耐受度。
Objective： To investigate the effects of operating room nursing intervention on the restless -ness and the tolerance of indwelling urinary catheter in patients undergoing esophageal cancer radical operation and to provide clinical foundations to elevate nursing care level in patients with general anesthesia .Methods：A total of 80 patients who underwent radical correction of esophageal cancer under general anesthesia in our hospital from August 2013 to August 2015 were selected, and randomly divided into observation group and control group, with 40 patients in each group.The control group was taken the traditional nursing , the obser-vation group implementation of operation room nursing intervention .The data of two group such as： awake time, extubation time, agitation and the degree of urethral stimulation were compared .Results：The patients of the two group had similar anesthesia and operative times , as well as intra -operative infusion volumes and blood losses, and the differences were statistically insignificant （P 〉0.05）.The times to analepsia and extu-bation in the patients of the observation group were （10.16±1.78）min and （14.51±1.17）min, respectively, while those of the control group were （12.24±1.82）min and （16.70±1.23）min, respectively, and the differ-ences were statistically significant （P〈0.05）.The patients of the observation group had significantly lower in -cidence and degree of agitation in stage of analepsia than the control group , and significantly gentler urethral irritant reaction after analepsia after anesthesia than the control group （P〈0.05）.Conclusion： Operating room nursing intervention in patients with radical correction of esophageal cancer can promote the analepsia after an -esthesia, shorten the time to extubation, decrease the incidence and relieve the degree of agitation in stage of analepsia, and elevate the degree of tolerance of indwelled urinary catheter .
出处
《河北医学》
CAS
2016年第8期1361-1364,共4页
Hebei Medicine
基金
四川省成都市科技计划项目
(编号:2014B1037)
关键词
护理干预
手术室护理
食管癌根治术
苏醒期躁动
尿道刺激反应
Nursing intervention
Operating room nursing
Radical correction of esophageal cancer
Agitation in stage of analepsia
Urethral irritant reaction
