中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
4期
27-28
,共2页
苏醒延迟%全身麻醉%临床分析
囌醒延遲%全身痳醉%臨床分析
소성연지%전신마취%림상분석
Delayed recovery%General anesthesia%Clinical analysis
目的 探讨全身麻醉苏醒延迟的原因,提高防范意识,降低苏醒延迟的发生率.方法 回顾性研究42例全身麻醉苏醒延迟患者的临床资料,探讨其发生原因及相关对策.结果 本研究42例患者自手术结束到完全苏醒的时间为2.5～7.5 h,平均(3.5±1.8)h.苏醒延迟原因主要是药物相对过量、持续的麻醉作用,而与之相关的原因有高龄、手术时间长、术前与术中出现并发症等.结论 导致全身麻醉苏醒延迟的原因较多,应重视术前检查和术中的监护,根据患者具体情况合理选择麻醉药物并调整其用量.
目的 探討全身痳醉囌醒延遲的原因,提高防範意識,降低囌醒延遲的髮生率.方法 迴顧性研究42例全身痳醉囌醒延遲患者的臨床資料,探討其髮生原因及相關對策.結果 本研究42例患者自手術結束到完全囌醒的時間為2.5～7.5 h,平均(3.5±1.8)h.囌醒延遲原因主要是藥物相對過量、持續的痳醉作用,而與之相關的原因有高齡、手術時間長、術前與術中齣現併髮癥等.結論 導緻全身痳醉囌醒延遲的原因較多,應重視術前檢查和術中的鑑護,根據患者具體情況閤理選擇痳醉藥物併調整其用量.
목적 탐토전신마취소성연지적원인,제고방범의식,강저소성연지적발생솔.방법 회고성연구42례전신마취소성연지환자적림상자료,탐토기발생원인급상관대책.결과 본연구42례환자자수술결속도완전소성적시간위2.5～7.5 h,평균(3.5±1.8)h.소성연지원인주요시약물상대과량、지속적마취작용,이여지상관적원인유고령、수술시간장、술전여술중출현병발증등.결론 도치전신마취소성연지적원인교다,응중시술전검사화술중적감호,근거환자구체정황합리선택마취약물병조정기용량.
Objective To investigate the possible causes of general anesthesia delayed recovery,in order to increase the awareness of delayed recovery prevention and reduce the incidence of delayed recovery.Methods A retrospective analysis of 42 patients with delayed recovery underwent general anesthesia was made,and the causes and related countermeasures were studied.Results The time since the end of surgery to fully wake up was 2.5 to 7.5 h,the average time was (3.5 ± 1.8) h.The main causes of delayed recovery were drug overdose,consistent anesthetic action and were associated with the advanced age,long operation time,preoperative and intraoperative complications,etc.Conclusions The causes of delayed recovery are complex.Anesthesiologists should pay attention to preoperative examination and operation monitoring,reasonable choose and adjust the amount of anesthetic drugs,according to the patients' specific conditions.
