目的:探讨缩唇呼吸训练在麻醉后监测治疗室(post-anesthsia care unit, PACU)内术后患者预防苏醒期低氧血症的应用效果。方法:选取2024年7月~9月上海某三甲医院入PACU苏醒的196例患者作为研究对象,采用随机数字表法将患者分为对照组(CG...目的:探讨缩唇呼吸训练在麻醉后监测治疗室(post-anesthsia care unit, PACU)内术后患者预防苏醒期低氧血症的应用效果。方法:选取2024年7月~9月上海某三甲医院入PACU苏醒的196例患者作为研究对象,采用随机数字表法将患者分为对照组(CG组)和实验组(EG组),每组各98例。对照组实施常规鼻导管氧疗,氧流量3~4 L/min;实验组,在对照组基础上指导患者缩唇呼吸训练。主要结局指标比较两组苏醒期低氧血症的发生率,次要结局指标比较两组低氧血症的持续时间、最低氧饱和度以及苏醒质量。结果:实验组低氧血症的发生率、低氧血症持续的时间明显低于对照组,实验组PACU停留时间明显短于对照组(P ≤ 0.05)。两组患者术后疼痛、恶心呕吐、躁动的发生差异无统计学意义(P > 0.05)。结论:术后缩唇呼吸训练能够降低苏醒期患者低氧血症的发生率,减少低氧血症持续的时间,缩短PACU停留时间,提高术后患者安全性以及PACU患者转出效率。Objective: To investigate the effect of postoperative pursed-lip breathing exercise on the prevention of hypoxemia in post-anesthsia care unit (PACU). Methods: A total of 196 patients admitted to PACU in a Grade A hospital in Shanghai from July to September 2024 were selected as the study objects, and the patients were randomly divided into control group (CG group) and experimental group (EG group), with 98 cases in each group. The control group performed conventional oxygen flow 3-4 L/min nasal catheter oxygen therapy, and the experimental group guided the patients to pursed-lip breathing exercise on the basis of the control group. Primary outcome measures compared the incidence of hypoxemia in the two groups, and secondary outcome measures compared the minimum oxygen saturation, duration of hypoxemia, and the quality of recovery in the two groups. Results: The incidence of hypoxemia and the duration of hypoxemia were significantly lower than that of the control group, and the residence time of PACU was significantly shorter than that of the control group (P ≤ 0.05). There was no significant difference in postoperative pain, nausea and vomiting, and agitation in the two group (P > 0.05). Conclusion: Postoperative pursed-lip breathing exercise can reduce the incidence of hypoxemia in PACU, reduce the duration of hypoxemia, shorten the stay time in PACU, improve the postoperative patient safety as well as the efficiency of transferring patients out of the PACU.展开更多
术后复苏室(PACU)在患者术后恢复中扮演着重要角色,维持正常体温对于患者的舒适度和预后至关重要。本研究旨在探讨精准体温控制护理技术在PACU中对患者主观舒适度的影响。通过随机对照试验,选取100例接受择期手术的患者,分为两组:一组...术后复苏室(PACU)在患者术后恢复中扮演着重要角色,维持正常体温对于患者的舒适度和预后至关重要。本研究旨在探讨精准体温控制护理技术在PACU中对患者主观舒适度的影响。通过随机对照试验,选取100例接受择期手术的患者,分为两组:一组接受标准术后护理,另一组接受精准体温控制护理技术。主要观察指标为患者使用视觉模拟评分(VAS)报告的舒适度。次要观察指标包括寒战发生率和PACU停留时间。结果表明,接受精准体温控制组的患者报告的舒适度显著高于标准护理组,且寒战发生率更低。本研究表明,在PACU中实施精准体温控制护理技术可以显著提高患者的主观舒适度,可能有助于改善术后恢复。The Post-Anesthesia Care Unit (PACU) plays a crucial role in the recovery of patients after surgery, and maintaining normal body temperature is essential for patient comfort and outcomes. This study aims to explore the impact of precise temperature control nursing techniques on patient subjective comfort in the PACU. A randomized controlled trial was conducted, selecting 100 patients undergoing elective surgery, divided into two groups: one receiving standard postoperative care and the other receiving precise temperature control nursing techniques. The primary outcome measure was patient comfort, which was reported using the Visual Analogue Scale (VAS). Secondary outcome measures included the incidence of shivering and the duration of stay in the PACU. Results indicated that patients in the precise temperature control group reported significantly higher comfort levels than those in the standard care group, with a lower incidence of shivering. This study demonstrates that implementing precise temperature control nursing techniques in the PACU can significantly improve patient subjective comfort, potentially contributing to improved postoperative recovery.展开更多
1目的探讨麻醉恢复室(post-anesthesia care unit,PACU)患者深麻醉状态下拔管的效果。2方法选择气管插管全麻术后带管送入PACU患者72例,采用随机数字表法分为观察组和对照组,各36例。观察组手术结束不停用丙泊酚,待自主呼吸恢复、潮气...1目的探讨麻醉恢复室(post-anesthesia care unit,PACU)患者深麻醉状态下拔管的效果。2方法选择气管插管全麻术后带管送入PACU患者72例,采用随机数字表法分为观察组和对照组,各36例。观察组手术结束不停用丙泊酚,待自主呼吸恢复、潮气量、每分钟通气量在正常范围,脱氧呼吸5分钟、脉搏血氧饱和度(SPO_2)>95%、有吞咽动作,拔管后再停药;对照组则完全停用丙泊酚,自主呼吸恢复、潮气量、每分钟通气量在正常范围、脱氧呼吸5分钟、SPO_2>95%、有吞咽动作、意识清醒后再拔除气管导管。比较两组患者拔除气管插管前后5分钟的呼吸频率、心率、平均动脉压,评估患者镇静评分(Ramsay sedation scale RSS)和拔管后相关并发症的发生率。3结果观察组拔除气管导管前后5分钟的呼吸频率、心率、平均动脉压较对照组低,镇静评分均较对照组高;观察组患者拔管后相关并发症的发生率较对照组低,差异均有统计学意义(P<0.05)。4结论 PACU患者深麻醉状态下拔管,血流动力学稳定,拔管后相关并发症的发生率明显降低,保证了患者顺利渡过麻醉苏醒期。展开更多
文摘目的:探讨缩唇呼吸训练在麻醉后监测治疗室(post-anesthsia care unit, PACU)内术后患者预防苏醒期低氧血症的应用效果。方法:选取2024年7月~9月上海某三甲医院入PACU苏醒的196例患者作为研究对象,采用随机数字表法将患者分为对照组(CG组)和实验组(EG组),每组各98例。对照组实施常规鼻导管氧疗,氧流量3~4 L/min;实验组,在对照组基础上指导患者缩唇呼吸训练。主要结局指标比较两组苏醒期低氧血症的发生率,次要结局指标比较两组低氧血症的持续时间、最低氧饱和度以及苏醒质量。结果:实验组低氧血症的发生率、低氧血症持续的时间明显低于对照组,实验组PACU停留时间明显短于对照组(P ≤ 0.05)。两组患者术后疼痛、恶心呕吐、躁动的发生差异无统计学意义(P > 0.05)。结论:术后缩唇呼吸训练能够降低苏醒期患者低氧血症的发生率,减少低氧血症持续的时间,缩短PACU停留时间,提高术后患者安全性以及PACU患者转出效率。Objective: To investigate the effect of postoperative pursed-lip breathing exercise on the prevention of hypoxemia in post-anesthsia care unit (PACU). Methods: A total of 196 patients admitted to PACU in a Grade A hospital in Shanghai from July to September 2024 were selected as the study objects, and the patients were randomly divided into control group (CG group) and experimental group (EG group), with 98 cases in each group. The control group performed conventional oxygen flow 3-4 L/min nasal catheter oxygen therapy, and the experimental group guided the patients to pursed-lip breathing exercise on the basis of the control group. Primary outcome measures compared the incidence of hypoxemia in the two groups, and secondary outcome measures compared the minimum oxygen saturation, duration of hypoxemia, and the quality of recovery in the two groups. Results: The incidence of hypoxemia and the duration of hypoxemia were significantly lower than that of the control group, and the residence time of PACU was significantly shorter than that of the control group (P ≤ 0.05). There was no significant difference in postoperative pain, nausea and vomiting, and agitation in the two group (P > 0.05). Conclusion: Postoperative pursed-lip breathing exercise can reduce the incidence of hypoxemia in PACU, reduce the duration of hypoxemia, shorten the stay time in PACU, improve the postoperative patient safety as well as the efficiency of transferring patients out of the PACU.
文摘术后复苏室(PACU)在患者术后恢复中扮演着重要角色,维持正常体温对于患者的舒适度和预后至关重要。本研究旨在探讨精准体温控制护理技术在PACU中对患者主观舒适度的影响。通过随机对照试验,选取100例接受择期手术的患者,分为两组:一组接受标准术后护理,另一组接受精准体温控制护理技术。主要观察指标为患者使用视觉模拟评分(VAS)报告的舒适度。次要观察指标包括寒战发生率和PACU停留时间。结果表明,接受精准体温控制组的患者报告的舒适度显著高于标准护理组,且寒战发生率更低。本研究表明,在PACU中实施精准体温控制护理技术可以显著提高患者的主观舒适度,可能有助于改善术后恢复。The Post-Anesthesia Care Unit (PACU) plays a crucial role in the recovery of patients after surgery, and maintaining normal body temperature is essential for patient comfort and outcomes. This study aims to explore the impact of precise temperature control nursing techniques on patient subjective comfort in the PACU. A randomized controlled trial was conducted, selecting 100 patients undergoing elective surgery, divided into two groups: one receiving standard postoperative care and the other receiving precise temperature control nursing techniques. The primary outcome measure was patient comfort, which was reported using the Visual Analogue Scale (VAS). Secondary outcome measures included the incidence of shivering and the duration of stay in the PACU. Results indicated that patients in the precise temperature control group reported significantly higher comfort levels than those in the standard care group, with a lower incidence of shivering. This study demonstrates that implementing precise temperature control nursing techniques in the PACU can significantly improve patient subjective comfort, potentially contributing to improved postoperative recovery.
