CAJ | 학술논문

目的调查腹腔镜手术全麻苏醒期患者躁动的相关因素,采取有效的护理干预,提高患者安全率.方法随机统计2008年6月～2009年6月收治的680例腹腔镜手术全麻苏醒期躁动患者62例的临床资料并进行分析,对躁动的原因施行相应的护理.结果 62例躁动患者中气管插管刺激占12例(19%),尿管刺激16例(26%),各种疼痛10例(16%),体位改变8例(13%),心理因素7例(11%),高碳酸血症5例(8%),其他因素5例(8%).结论密切观察腹腔镜全麻患者复苏期躁动的病情变化,及时、准确分析原因并采取相应对策可以确保患者安全渡过全麻苏醒期.
목적 조사복강경수술전마소성기환자조동적상관인소,채취유효적호리간예,제고환자안전솔.방법 수궤통계2008년6월～2009년6월수치적680례복강경수술전마소성기조동환자62례적림상자료병진행분석,대조동적원인시행상응적호리.결과 62례조동환자중기관삽관자격점12례(19%),뇨관자격16례(26%),각충동통10례(16%),체위개변8례(13%),심리인소7례(11%),고탄산혈증5례(8%),기타인소5례(8%).결론 밀절관찰복강경전마환자복소기조동적병정변화,급시、준학분석원인병채취상응대책가이학보환자안전도과전마소성기.
Objective To explore the incidence and risk factors of emergence agitation during the recovery period of general anaesthesia with laparoscope,and adopted the effective nursing intervention and enhance the patient safety coefficient.Methods The clinical data of 62 laparoscope surgery patients were analyzed,and the reason of restlessness during up period after anaesthesia of laparoscope surgery were investigated.Results There were 62 cases of agitation in patients with endotracheal intubation accounted for 12 cases (19%),catheter to stimulate the 16 cases (26%),all kinds of pain in 10 patients (16%),postural change in 8 cases (13%),seven cases of psychological factors (11%),hypercapnia in 5 cases (8%),other factors in 5 cases (8%) .Conclusions Pay close attention to observe the condition of patient and timely ,accurate analysis of the causes and take appropriate measures to ensure patients safety through the recovery from general anesthesia.