中国药业Issue(11)：88-89,90,3.
异丙酚复合瑞芬太尼对婴幼儿麻醉后恢复期的影响及护理体会
Effect and Nursing Experience during Recovery Period in Infantile Intraoperative Remifentanil Combined with Propofol Anesthesia
摘要
Abstract
Objective To investigate the nursing experience during the recovery period in infantile intraoperative remifentanil combined with propofol anesthesia. Methods 710 children patients undergoing elective operation under general anesthesia in our department dur-ing 2012-2013 were selected and randomly divided into the experimental group ( n=360 ) and control group ( n=350 ) . The experimen-tal group was given the vital signs management, respiratory tract nursing, restlessness and aspiration nursing after anesthesia;the control group received the ordinary postoperative nursing. The postoperative recovery time, changes of vital signs at different time points, restless-ness score and sedation score and incidence rate of complications during the recovery period after anesthesia were compared between the two groups. Results The breathing recovery time, consciousness recovery time, extubation time and time leaving the recovery room in the experimental group were ( 9. 78 ± 1. 25 ) min, ( 13. 27 ± 2. 54 ) min, ( 16. 80 ± 3. 29 ) min and ( 54. 16 ± 10. 32 ) min respectively, which significantly shorter than ( 11. 19 ± 1. 63 ) min, ( 17. 36 ± 3. 57 ) min, ( 23. 55 ± 3. 64 ) min and ( 59. 81 ± 11. 26 ) min in the control group respectively ( P < 0. 01 ) . The heart rate ( HR ) at T2-T6 in the two groups were significantly higher than that at 10 min before the end of surgery, SpO2 was significantly lower than that at 10 min before the end of surgery ( P < 0. 05 );MAP and HR at T2-T6 in the ex-perimental group were significantly lower than those in the control group ( P < 0. 05 ) . RS at T4-T6 was significantly higher than that at T3, while RSS was significantly lower than that at T3 ( P < 0. 05 );RS at T3-T6 in the experimental group was significantly lower than that in the control group, while RSS was significantly higher than that in the control group ( P < 0. 05 ) . The incidence rate of complications during recovery period after anesthesia in the experimental group was 28. 89% , which was significantly lower than 37. 14% in the control group (χ2=32. 368 5, P < 0. 01 ) . Conclusion Strengthening the nursing and monitoring during the recovery pe-riod after anesthesia can stabilize the vital signs of the children patients, promotes them to waken, avoids the restlessness occurrence and reduces the incidence rate of postoperative anesthetic complications.关键词
婴幼儿/异丙酚/瑞芬太尼/麻醉后恢复期/护理Key words
infants/propofol/remifentanil/recovery period after anesthesia/nursing分类
医药卫生引用本文复制引用
张川波,张秋月,李薛颖..异丙酚复合瑞芬太尼对婴幼儿麻醉后恢复期的影响及护理体会[J].中国药业,2015,(11):88-89,90,3.基金项目
2014年秦皇岛市科学技术研究与发展计划（第一批）项目，项目编号201401A182。 （）
