CAJ | 학술논문

目的:探探讨小儿全麻术后苏醒期躁动的原因和护理对策.方法:回顾性分析722例全麻手术患儿术后苏醒期躁动的发生情况,采用儿童全麻苏醒期躁动的Ⅴ点分级法评估苏醒期躁动程度,并对全麻苏醒期躁动(Ⅲ级以上)患儿进行躁动原因分析及术后舒适护理干预.结果:全身麻醉患儿722例,132例术后发生苏醒期躁动,总发生率为18.28%;躁动患儿中存在伤口疼痛52例,各种不良刺激43例,分离焦虑22例,其他原因15例,分别占39.39%,32.58%,16.67%及11.36%.经父母陪护等术后舒适护理小儿苏醒期躁动总发生率降为4.43%.结论:小儿全麻苏醒期躁动的常见原因有术后疼痛、各种不良刺激、分离焦虑和其他因素.经父母陪护复苏等综合的术后舒适护理干预措施,可以有效缓解小儿全麻苏醒期躁动的发生.
목적:탐탐토소인전마술후소성기조동적원인화호리대책.방법:회고성분석722례전마수술환인술후소성기조동적발생정황,채용인동전마소성기조동적Ⅴ점분급법평고소성기조동정도,병대전마소성기조동(Ⅲ급이상)환인진행조동원인분석급술후서괄호리간예.결과:전신마취환인722례,132례술후발생소성기조동,총발생솔위18.28%;조동환인중존재상구동통52례,각충불량자격43례,분리초필22례,기타원인15례,분별점39.39%,32.58%,16.67%급11.36%.경부모배호등술후서괄호리소인소성기조동총발생솔강위4.43%.결론:소인전마소성기조동적상견원인유술후동통、각충불량자격、분리초필화기타인소.경부모배호복소등종합적술후서괄호리간예조시,가이유효완해소인전마소성기조동적발생.
Objective:Discussion of cause analysis and nursing intervention for emergence agitation in pediatric patient under general anesthesia. Methods: The histories of 722 pediatric patients were retrospectively analyzed to find out the incidence of emergence agitation during the recovery period of general anesthesia. Using theⅤpoint classification method to evaluate emergence agitation degree of pediatric patient under general anesthesia and analyze the causes of emergence agitation of children(Ⅲ degree or above) and then take care interventions. Results: Emergence agitation occurred in 132 cases of 722 children under general anesthesia and 52 cases of 132 children because of wound pain, 43 cases due to all sorts of undesirable stimulation, 22 cases by reason of separation anxiety and 15 cases owing to other causes. Emergence agitation which occurred in 132 children obviously remission by adequate analgesia, parental accompany and other comfortable nursing intervention. Conclusion: There are the common causes of emergence agitation in pediatric patient under general anesthesia, such as postoperative pain, all kinds of undesirable stimulation and other factors. Comprehensive comfortable nursing intervention which include postoperative comfort care,such as parental accompany during the recovery and adequate analgesia and so on can effectively reduce the incidence of emergence agitation in pediatric anesthesia.