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无痛护理在全麻下腹腔镜胆囊切除术病人麻醉苏醒期的应用 |
Application of Painless Nursing in the Anesthesia Recovery Period for Patients with Laparoscopic Cholecystectomy under General Anesthesia |
投稿时间:2019-01-14 修订日期:2019-03-11 |
DOI: |
中文关键词: 无痛护理 腹腔镜胆囊切除术 麻醉苏醒期 |
英文关键词: anesthesia recovery period painless nursing application |
基金项目:安徽省卫生计生委科研计划项目(2016QK051);芜湖市科技计划项目(2017cg18) |
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中文摘要: |
目的 探讨全麻下腹腔镜胆囊切除术术后病人在麻醉复苏室应用无痛护理理念的方法与效果。方法 选择2018年1~10月48例腹腔镜胆囊切除术病人,随机分为试验组和对照组,各24例,对照组给予麻醉复苏室常规护理,试验组在常规护理的基础上采取术前疼痛评估评估、超前镇痛用药、个性化心理干预等一系列无痛护理措施,观察两组病人的疼痛评分以及恶心、呕吐等并发症的发生,观察麻醉复苏时间、持续镇痛时间、麻醉复苏室驻留等时间对比。结果 两组病人苏醒时间差异无统计学意义(P>0.05),试验组在麻醉复苏室驻留时间比对照组缩短,试验组镇痛持续时间比对照组延长,差异有统计学意义(P<0.05);试验组病人干预后,在麻醉复苏期的NRS评分、躁动、恶心呕吐的发生率低于对照组,差异有统计学意义(P<0.05);两组病人嗜睡、呼吸抑制等不良反应事件的比较差异无统计学意义(P>0.05)。结论 无痛护理能降低麻醉苏醒期病人急性疼痛的发生,提高病人的舒适度和安全性,值得临床推广。 |
英文摘要: |
Objective: To investigate the effects of painless nursing on recovery periodof anesthesiafor patients with laparoscopic cholecystectomy under general anesthesia.
Methods: 48 patients with ASA grade I to II who would receivelaparoscopic cholecystectomy were divided into experimental group and control grouprandomly, with24 patients in each group. Patients received routine nursing in post anesthesia care unit. And the patientsin experimental group received a series of painless nursing measures, such as advanced analgesic medication and psychological nursing.The nursing effects of the patients in the two groups were compared.
Results: No significant difference in the recovery time was observed between the two groups (P > 0.05). The residence time in post anesthesia care unit of the patients in the experimental group was shorter than that of the control group. The duration of analgesia in the experimental group was significantly longer than that in the control group (P < 0.05). The incidence of NRS score, restlessness and vomiting in the experimental group was markedly lower than that in the control group (P < 0.05).No significant difference in adverse events such as sleepiness and respiratory depression were observed between the two groups (P > 0.05).
Conclusion: Painless nursing was safe and effective to prevent acute pain during anesthesia recovery, and it also improves the comfort and safety of patients in post anesthesia care unit. |
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