全身麻醉患者苏醒期躁动的危险因素分析及护理对策

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

熊玉慧¹ 

关键词: 全身麻醉;    苏醒期躁动;    危险因素;    镇痛;    护理对策;   

DOI  :  10.11997/nitcwm.201809029

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To analyze the potential risk factors of emergence agitation(EA)in patients under general anesthesia, and to summarize nursing countermeasures. Methods 〓The clinical data of 1500 patients undergoing general anesthesia for the surgery were retrospectively analyzed. The occurrence of postoperative EA was analyzed by gender distribution, operation type, stimulating factors and others. The relationship between anesthesia and postoperative EA was analyzed. Results 〓There were 274(18.27%)cases of postoperative EA, and most of them were in a mild to moderate degree. The main stimulation factor of postoperative EA was pain(43.06%)in this study, followed by stimulation induced by the endotracheal tube(25.18%)and urinary catheter(17.88%). The incidence of EA in patients under inhalational and intravenous induction of general anesthesia was higher than that in patients with total intravenous anesthesia(P<0.05). The incidence of EA in patients without postoperative analgesia was higher than that in patients with postoperative analgesia(P<0.05), and was higher in patients with Doxapram administration than those without Doxapram administration(P<0.05). There was significant difference in incidence of EA among patients with different types of the surgery(P<0.05), and the incidence of EA after Otorhinolaryngologic and thoracic surgeries was relatively higher that after other types of the surgery. Conclusion 〓It is required to familiarize the risk factors of EA and carry out corresponding nursing countermeasures, in order to relieve the pain of patients and improve the quality of nursing during the post-anesthesia recovery period.

【 授权许可】

CC BY-NC