| 小儿气管插管全麻苏醒期躁动观察及护理 |
| |
| 引用本文： | 邹岚,吕凛生,刘慧,关健强. 小儿气管插管全麻苏醒期躁动观察及护理[J]. 中华腔镜泌尿外科杂志(电子版), 2011, 5(6): 508-511. DOI: 10.3877/cma.j.issn.1674-3253.2011.06.018 |
| |
| 作者姓名： | 邹岚 吕凛生 刘慧 关健强 |
| |
| 作者单位： | 中山大学附属第三医院手术室,广州,510630 |
| |
| 基金项目： | 中山大学附属第三医院院基金(200709) |
| |
| 摘 要： | 目的对气管插管全麻小儿手术后苏醒期躁动情况进行观察并总结护理经验。方法观察207例气管插管全麻小儿手术后在麻醉复苏室苏醒恢复情况,进行躁动评分（PAED）、镇痛评分（VAS）,记录并发症的发生情况并对护理情况予以评价。结果气管导管拔除后发生躁动65例。拔管后一过性低氧血症（SpO2〈90%）发生率25.1%（52/207）,面罩吸氧后改善;躁动造成气管导管滑脱8例,静脉输液外渗18例（其中留置针脱出5例）。拔管后10min、20min、30minPAED评分分别为10（2-18）,7（2-16）,6（1-16）,20min,30min组较10min组组间有统计学差异（P〈0.05）。非躁动患儿VAS评分率58.4%（83/142）,VAS为3（0-4）;躁动患儿VAS评分率53.89%（35/65）,VAS为3（0-5）,VAS组间无统计学差异（P〉0.05）。结论气管插管全麻小儿苏醒期躁动发生率高,并可导致严重并发症。苏醒期正确护理对减少并发症的发生及保证患儿的安全至关重要。
|
| 关 键 词： | 全麻 小儿 苏醒期躁动 护理 |
Nursing for emergence delirium in children after operation under general anesthesia |
| |
| ZOU Lan,L Lin-sheng,LIU Hui,GUAN Jian-qiang. Nursing for emergence delirium in children after operation under general anesthesia[J]. , 2011, 5(6): 508-511. DOI: 10.3877/cma.j.issn.1674-3253.2011.06.018 |
| |
| Authors: | ZOU Lan L Lin-sheng LIU Hui GUAN Jian-qiang |
| |
| Affiliation: | ZOU Lan,LU.. Lin-sheng,LIU Hui,GUAN Jian-qiang. Department of Operation and Anesthesiology Centre,the Third Affiliated Hospital,Sun-Yat Sen University,Guanzhou 510630,China |
| |
| Abstract: | Objective To explore the causes and nursing experiences of emergence delirium (ED) in children after operation under general anesthesia. Method A total of 207 pediatric patients with ED underwent operation who recovered from general anesthesia. ED and pain level were assessed using the pediatric anesthesia emergence delirium (PAED) and the visual analog scale (VAS), respectively. Complications were observed and nursing effect were evaluated. Results ED occurred in 65 cases after tracheal extubation. The inc... |
| |
| Keywords: | General anesthesia Pediatric patient Emergence delirium Nursing |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
