CAJ | 학술논문

目的探讨预防性围术期麻醉管理与常规护理对预防老年手术患者麻醉性并发症的临床效果。方法对来我院诊治的120例患者入院资料进行分析，将其随机分为两组。对照组采用常规方法管理，实验组采用预防性围术期麻醉管理，比较两组麻醉并发症情况。结果实验组术后清醒后1min（T0）VAS评分为（2.06±0.7）分、5min（T1）VAS评分为（2.27±0.96）分、10min（T2）VAS评分为（1.87±0.91）分、20min（T3）VAS评分为（1.120±0.83）分，均低于对照组（P<0.05）；实验组术后麻醉并发症发生率为21.6%，低于对照组（58.3%）（P<0.05）。结论老年患者手术在临床上比较常见，临床上采用预防性围术期麻醉管理对麻醉并发症进行预防的效果理想，值得推广使用。
목적탐토예방성위술기마취관리여상규호리대예방노년수술환자마취성병발증적림상효과。방법대래아원진치적120례환자입원자료진행분석，장기수궤분위량조。대조조채용상규방법관리，실험조채용예방성위술기마취관리，비교량조마취병발증정황。결과실험조술후청성후1min（T0）VAS평분위（2.06±0.7）분、5min（T1）VAS평분위（2.27±0.96）분、10min（T2）VAS평분위（1.87±0.91）분、20min（T3）VAS평분위（1.120±0.83）분，균저우대조조（P<0.05）；실험조술후마취병발증발생솔위21.6%，저우대조조（58.3%）（P<0.05）。결론노년환자수술재림상상비교상견，림상상채용예방성위술기마취관리대마취병발증진행예방적효과이상，치득추엄사용。
Objective To investigate the clinical effect of preventative perioperative anesthesia management and usual care on preventing anesthetic complication among elderly patients. Methods We analyzed the data and information of 120 patients in our hospital and divided them into two groups randomly. Patients in control group received usual care while patients in experimental group received preventative perioperative anesthesia management. The results of anesthetic complication in these two groups were compared. Results In experimental group, after postoperative awake, 1 min (T0)VAS score(2.06±0.7), 5 min(T1)VAS score (2.27±0.96), 10 min (T2)VAS score (1.87±0.91) and 20 min(T3)VAS score (1.120±0.83) were all lower than that of control group(P<0.05);The incidence rate of anesthetic complication was 21.6%in experimental group which was lower than the rate of 58.3%in control group(P<0.05). Conclusion Surgeries for elderly patients are common in clinical practice. The effect of preventative perioperative anesthesia management on preventing anesthetic compliance is good and this kind of management method is worth being popularized.