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find Keyword "麻醉苏醒期" 9 results
  • 无痛纤维支气管镜检查围手术期护理

    目的 总结无痛纤维支气管镜检查围手术期护理要点。 方法 对2011年11月-2012年5月行无痛纤维支气管镜检查的335例患者的围手术期护理方法进行回顾分析。 结果 335例患者均顺利完成检查,仅1例出现低氧血症但无麻醉意外发生,患者平均检查时间为(12.9 ± 2.27)min。 结论 采取积极有效的围手术期护理措施,能有效降低无痛纤维支气管镜检查患者围手术期相关并发症的发生率。

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  • 麻醉苏醒期高血压患者的临床观察及护理

    目的 分析麻醉苏醒期患者出现高血压的原因,并采取相应的观察护理措施。 方法 回顾性分析2012 年4 月-7月进入麻醉苏醒室的5 005例患者,记录出现高血压患者的临床资料。 结果 麻醉苏醒期发生高血压患者184例(3.7%),其中既往有高血压病史的患者105例(56.8%),无高血压病史的患者79例(43.2%);使用镇痛药者42例(23.2%),未使用镇痛药者142例(76.8%);使用降压药者93例(51.7%),未使用降压药者91例(49.3%);发生高血压给予处理后观察20 min,其收缩压和舒张压与未处理前比较有统计学差异(P<0.05)。 结论 及时有效的分析麻醉复苏期间患者发生高血压的原因,给予及时的镇痛和降压处理,能有效改善患者的血压,保证患者麻醉复苏期间的安全。

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  • 无痛胃镜下行食管静脉曲张套扎术后患者麻醉苏醒期的护理

    【摘要】 目的 总结对无痛胃镜下行食管静脉曲张套扎术患者麻醉苏醒期的护理要点。 方法 2009年3月-2009年10月,对83例食管静脉曲张患者在无痛胃镜下行曲张静脉套扎术,术后麻醉苏醒期采取密切观察、积极预防、及时处置等有效护理措施,防止并发症发生。 结果 麻醉苏醒期,有7例患者出现低氧血症,1例出现反流但无误吸。 结论 积极有效的护理措施,能有效降低无痛胃镜下食管静脉曲张套扎术患者麻醉苏醒期相关并发症的发生率。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • 神经外科麻醉苏醒室的呼吸道管理和护理体会

    目的探讨神经外科麻醉苏醒室(N-PACU)麻醉苏醒期呼吸道管理及呼吸系统并发症的护理。 方法对2012年1月-2013年5月行颅脑神经外科手术的2 231例患者带气管导管术毕返回N-PACU进行观察记录,对麻醉苏醒期间出现的各种呼吸系统并发症及护理方法进行分析。 结果在麻醉苏醒期出现了124例低氧血症,发生率约为5%,所有患者经积极处理后均安全返回病房,无患者死亡。 结论N-PACU医护人员的谨慎观察和及时处理是保障患者安全渡过麻醉苏醒期的重要保障。

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  • Observation and Nursing of Hypotension for Patients during Anesthesia Recovery Period

    ObjectiveTo observe the incidence of hypotension in general anesthesia patients in post anesthesia care unit (PACU), compare the blood pressure before and after treatment, and analyze hypotension causes. MethodBetween September 2012 and July 2013, data of 18 931 patients in PACU after general anesthesia were retrospectively analyzed for the incidence of hypotension. At the same time, the change of blood pressure was also detected before and after treatment. ResultsSixty-two patients had hypotension during the anesthesia recovery period after general anesthesia. The incidence was 0.33%. The proportion was the highest among patients who underwent abdominal surgery, reaching 41.9%. Systolic pressure and diastolic pressure improved significantly after treatment (P<0.05). ConclusionsIt is important to perform comprehensive evaluation of vital signs, closely observe disease conditions and vital sign changes, find out and manage low blood pressure for patients in PACU, which secure their safety.

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  • 全身麻醉术后患者麻醉苏醒期寒颤的观察及护理干预

    目的观察全身麻醉术后患者在麻醉苏醒室(PACU)寒颤的发生率,及时纠正患者的寒颤,以保证其平稳渡过麻醉苏醒期。 方法回顾性分析2012年9月-2013年7月18 931例全身麻醉术后入PACU的患者的寒颤发生率、寒颤与手术部位的相关性,分析采用调高室温、使用棉被及保温毯、大量输血输液时使用加温器等护理干预措施后的效果。 结果18 931例麻醉苏醒期患者中发生寒颤124例,发生率为6.55‰;其中腹部手术患者最多,占33.87%。以腹部、脊柱手术寒颤发生率最高,为8.87‰和7.30‰。给予护理干预及用药30 min后102例患者寒颤缓解,缓解率为82.25%。 结论应对入PACU的患者进行全面评估并在PACU期间进行密切监护,及时发现术后寒颤,采取积极治疗和护理干预措施,使患者平稳、安全地渡过麻醉苏醒期。

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  • 麻醉苏醒期患者恶心呕吐的观察及护理

    目的观察麻醉苏醒室(PACU)患者恶心呕吐的发生率,及时纠正患者的恶心呕吐。 方法将2012年9月-2013年7月全身麻醉手术后入PACU的18753例患者的恶心呕吐发生率及恶心呕吐处理前后的效果进行回顾性分析。 结果18753例麻醉苏醒期间患者中发生恶心呕吐者60例,发生率0.31%;其中最多的为腹部手术患者,占总发生数中的35.0%;处理后比处理前收缩压和舒张压均有明显改善(P<0.05),恶心呕吐症状明显缓解或消失。 结论对进入PACU的患者应进行全面评估并在PACU期间进行严密观察患者的病情及生命体征变化,及时发现、处理患者的恶心呕吐,保证患者在PACU期间的安全及舒适。

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  • Observation and Nursing Care of Patients with Arrhythmia during Anesthesia Recovery

    ObjectiveTo analyze the occurrence of arrhythmia in patients during the recovery period of anesthesia, in order to take appropriate measures in nursing care to ensure the safety of patients. Method We carried out a retrospective analysis of 18 931 general anesthesia post-operative patients (aged 16-84 years old) transferred to anesthesia recovery from September 2012 to July 2013, and we observed the incidence rate of arrhythmia, and documented the clinical manifestations of the patients. ResultsDuring the anesthesia recovery, out of 18 931 general anesthesia postoperative patients, 269 cases of arrhythmia occurred, and the incidence rate was 1.42%. Twenty minutes after nursing intervention and use of medication, the difference of systolic blood pressure, bradycardic heart rate, and tachycardic heart rate of the patients were statistically better than those beofre the treatment (P< 0.05) . ConclusionEarly discovery and analysis of arrhythmia in patients during anesthesia recovery, along with timely provision of analgesic and antiarrhythmic treatment can effectively improve the circulation status of the patients, thus ensure the safety of the patients during anesthesia recovery.

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  • Influence of Postoperative Indwelling Urethral Catheter on Emergence Agitation of Patients with Thoracic Surgery: A Prospective Cohort Study

    Objective To explore the emergence agitation resulting from postoperative indwelling urethral catheters in patients of thoracic surgery. Methods In this prospective cohort study, we recruited 140 patients who were scheduled for thoracic surgery under general anesthesia in West China Hospital from January through April 2014. These patients were divided into two groups including a control group and a trial group with 70 patients in each group. The patients in the control group had indwelled urethral catheter routinely. The catheter removed after the surgery at operation room in the trial group. Intraoperative urinary volume, emergence agitation (EA) occurrence, postoperative urinary retention, and urethral irritation were recorded. Results There was no statistical difference in postoperative urinary retention rate between the control group and the trial group (1.43% vs. 2.86%, P=0.230). However, the urethral irritation rate in the control group was significantly higher than that in the trial group (12.86% vs. 0.00%, P=0.012) . And there was a statistical difference in adverse event rate (2.86% vs. 0.00%, P=0.039) between the two groups. There was a significantly higher incidence of urethral irritation in male patients (20.51%, 8/39) than female patients (3.23%, 1/31, P=0.033).The rate of EA in the control group was significantly higher than that in the trial group (28.57% vs. 12.86%, P=0.010). There was a significantly higher EA rate in the patients who had urethral irritation by postoperative indwelling catheters compared with those without indwelling catheters (45.00% vs. 12.86%, P=0.043). Conclusion This study suggests that postoperative EA is a result from urethral irritation than local pain, and the EA rate can be decreased by removal of catheter before anaesthetic recovery.

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