摘要
目的探究多模式保温护理对骨科全麻老年患者术后复苏、循环功能及脑氧代谢的影响。方法选择2021年6月至2022年6月贵港市人民医院接收诊治骨科全麻老年患者80例,按照随机数表法分为对照组和观察组,每组各40例。对照组实施常规护理,观察组实施多模式保温护理,比较两组患者的术后复苏相关指标、循环功能[心率(HR)、收缩压(SBP)、舒张压(DBP)]及脑氧代谢[左、右局部脑氧饱和度(rScO_(2))]。结果观察组复苏期体温高于对照组(P<0.05),低体温及寒战发生率低于对照组(P<0.05),HR慢于对照组(P<0.05),SBP、DBP低于对照组(P<0.05),麻醉恢复留观时间及完全苏醒时间短于对照组(P<0.05),左、右rScO_(2)高于对照组(P<0.05)。结论多模式保温护理对骨科全麻术后老年患者复苏室保温效果显著,有助于减少应激反应发生,改善循环功能及脑氧代谢,促进患者更快苏醒。
Objective To explore the effects of multi-mode thermal insulation nursing on postoperative recovery,circulatory function,and cerebral oxygen metabolism in elderly patients undergoing orthopedic general anesthesia.Methods A total of 80 elderly patients undergoing orthopedic general anesthesia treated in Guigang People’s Hospital from June 2021 to June 2022 were selected and divided into a control group and an observation group using the random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received multi-mode thermal insulation nursing.The postoperative recovery-related indicators,circulatory function(heart rate[HR],systolic blood pressure[SBP],diastolic blood pressure[DBP]),and cerebral oxygen metabolism(left and right regional cerebral oxygen saturation[rScO_(2)])were compared between the two groups of patients.Results During the recovery period,the body temperature of the observation group was higher than that of the control group(P<0.05),and the incidence of hypothermia and chills was lower than that of the control group(P<0.05).HR was slower than that of the control group(P<0.05),and SBP and DBP were lower than those of the control group(P<0.05).The observation length and complete recovery time of anesthesia were shorter than those of the control group(P<0.05),and the left and right rScO_(2) were higher than those of the control group(P<0.05).Conclusion Multi-mode thermal insulation nursing has a significant effect on the thermal insulation of the recovery room for elderly patients after orthopedic general anesthesia,which helps to reduce stress reactions,improve circulatory function and cerebral oxygen metabolism,and promote faster recovery of patients.
作者
廖雪梅
徐静敏
LIAO Xuemei;XU Jingmin(Department of Anesthesiology,Guigang People’s Hospital,Guangxi,Guigang 537100,China)
出处
《中国医药科学》
2024年第1期154-156,174,共4页
China Medicine And Pharmacy
基金
广西壮族自治区卫生健康委员会科研课题(Z-R20221939)。
关键词
骨科全麻术后
低体温
多模式保温护理
循环功能
脑氧代谢
After orthopedic general anesthesia
Hypothermia
Multi-mode thermal insulation nursing
Circulatory function
Cerebral oxygen metabolism
