CAJ | 학술논문

目的：评价比较PADS评分和Aldrete评分作为宫腔镜手术患者麻醉后离院标准的安全性和效率。方法行宫腔镜手术患者100例，随机分为两组，即A组和P组(n=50)，术毕后A组患者采用Aldrete评分， P组患者采用PADS评分。两组患者苏醒评分≥9时可以在家属的陪同下离院。记录患者的手术时间，以及苏醒评分≥9所需时间。结果 P组患者评分≥9所需时间明显长于A组患者(P<0.01)；A、P两组患者苏醒评分≥9离院后，无一例患者发生院内外急救或需再次入院。结论与Aldrete评分相比，运用PADS评分延长了行宫腔镜手术患者在苏醒室的观察时间；两种苏醒评分作为宫腔镜手术患者麻醉后的离院标准是安全的。
목적：평개비교PADS평분화Aldrete평분작위궁강경수술환자마취후리원표준적안전성화효솔。방법행궁강경수술환자100례，수궤분위량조，즉A조화P조(n=50)，술필후A조환자채용Aldrete평분， P조환자채용PADS평분。량조환자소성평분≥9시가이재가속적배동하리원。기록환자적수술시간，이급소성평분≥9소수시간。결과 P조환자평분≥9소수시간명현장우A조환자(P<0.01)；A、P량조환자소성평분≥9리원후，무일례환자발생원내외급구혹수재차입원。결론여Aldrete평분상비，운용PADS평분연장료행궁강경수술환자재소성실적관찰시간；량충소성평분작위궁강경수술환자마취후적리원표준시안전적。
Objective To investigate whether PADS scoring system and Aldrete scoring system are safe and their efficiencies as clinical criterias for discharge of patients undergoing hysteroscopicsurgery. Methods About 100 patients undergoing hysteroscopic surgery were enrolled and assigned to two groups ,A group and P group(n=50). In the A group ,discharge decision was based on the Aldrete scoring system;In the P group ,discharge decision was based on the PADS scoring system.Patients accompanied by family members could be discharged from hospital after scores ≥ 9. The operation time , and the time for scores ≥ 9 were recorded. Results Patients of the P group needed more recovery time get scores≥9 than patients of the A group(P<0.01) . After scores≥9 discharge,none of the patients needed first aid inside or outside hospital, or hospital re-admission. Conclusion Compared with the Aldrete scoring system, PADS scoring system may prolong the patient’s time in recovery room;Two kinds of awakening score as clinical criterias for discharge of patients undergoing hysteroscopicsurgery, are safe .