全身麻醉術(shù)后患者麻醉蘇醒期寒顫的觀察及護(hù)理干預(yù)
發(fā)布時(shí)間:2018-01-23 06:00
本文關(guān)鍵詞: 麻醉蘇醒期 寒顫 護(hù)理 出處:《華西醫(yī)學(xué)》2016年02期 論文類型:期刊論文
【摘要】:目的觀察全身麻醉術(shù)后患者在麻醉蘇醒室(PACU)寒顫的發(fā)生率,及時(shí)糾正患者的寒顫,以保證其平穩(wěn)渡過麻醉蘇醒期。方法回顧性分析2012年9月-2013年7月18 931例全身麻醉術(shù)后入PACU的患者的寒顫發(fā)生率、寒顫與手術(shù)部位的相關(guān)性,分析采用調(diào)高室溫、使用棉被及保溫毯、大量輸血輸液時(shí)使用加溫器等護(hù)理干預(yù)措施后的效果。結(jié)果 18 931例麻醉蘇醒期患者中發(fā)生寒顫124例,發(fā)生率為6.55‰;其中腹部手術(shù)患者最多,占33.87%。以腹部、脊柱手術(shù)寒顫發(fā)生率最高,為8.87‰和7.30‰。給予護(hù)理干預(yù)及用藥30 min后102例患者寒顫緩解,緩解率為82.25%。結(jié)論應(yīng)對入PACU的患者進(jìn)行全面評估并在PACU期間進(jìn)行密切監(jiān)護(hù),及時(shí)發(fā)現(xiàn)術(shù)后寒顫,采取積極治療和護(hù)理干預(yù)措施,使患者平穩(wěn)、安全地渡過麻醉蘇醒期。
[Abstract]:Objective to observe the incidence of cold tremor in anaesthesia recovery chamber (PACUU) after general anesthesia, and correct the shivering in time. Methods from September 2012 to July 18th 2013, the incidence of chills in 931 patients with PACU after general anesthesia was analyzed retrospectively. The correlation between shivering and surgical site was analyzed by adjusting room temperature, using cotton quilt and heat preservation blanket. Results among 18 931 patients with anaesthesia, 124 had chills, the incidence rate was 6.55 鈥,
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