全麻前沟通与宣教对功能性鼻内窥镜手术患者全麻苏醒期躁动的影响

外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (3): 163-166.

全麻前沟通与宣教对功能性鼻内窥镜手术患者全麻苏醒期躁动的影响

杨君君，张晓庆

同济大学附属同济医院麻醉科，上海 200065

出版日期:2013-09-28 发布日期:2013-03-25
通讯作者: 张晓庆(1964-),男,主任医师,硕士生导师。
E-mail:xq_820175@163.com
作者简介:杨君君(1983-),女,山东人,住院医师从事临床麻醉工作。

Effects of the agitation in patients received propaganda and education before surgery with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia

YANG Jun-jun, ZHANG Xiao-qing

Department of Anesthesiology,Tongji Hospital,Tongji University School of Medicine,Shanghai 200065,China

Online:2013-09-28 Published:2013-03-25

摘要/Abstract

摘要： 目的观察全麻前沟通与宣教对功能性鼻内窥镜手术患者全麻苏醒期躁动的影响。方法 60例年龄30~70岁择期行功能性鼻内窥镜手术的患者，ASA分级Ⅰ~Ⅱ级，随机分为对照组(C组)(n=30)和全麻前沟通与宣教组(P组)(n=30)。C组采用麻醉前常规谈话，P组在此基础上系统讲解全身麻醉和拔管的相关知识，减轻患者的紧张焦虑情绪。并在麻醉前再次告知患者麻醉苏醒期可能会出现的某些不适感，嘱其在苏醒期尽量配合麻醉医师的操作。两组麻醉诱导、术中维持用药及监测均相同。记录手术结束两组患者的苏醒时间，拔管时间，拔管时RSS躁动评分，拔管后即刻VAS疼痛视觉模拟评分。结果手术结束两组患者苏醒时间无显著差异(P>0.05)。C组和P组VAS疼痛视觉模拟评分无显著性差异(P>0.05)。P组的拔管时间较C组明显缩短(P<0.05)。术后躁动发生率P组较C组明显减少，差异有统计学意义(P<0.05)。结论全麻前沟通与宣教能够有效预防功能性鼻内窥镜手术患者全麻苏醒期躁动的发生，提高复苏质量和安全性。

关键词: 沟通与宣教, 功能性鼻内窥镜手术, 苏醒期, 躁动

Abstract: Objective To observe the agitation in patients with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia in the patients who received propaganda and education before surgery.Methods Sixty ASA Ⅰ~Ⅱ grade patients who were scheduled for Functional Endoscopic Sinus Surgery,were randomly divided into two groups(group C and group P) with 30 cases each.Patients in group C were given the routine pre-anesthetic visit the day before surgery.while the patients in group P were given the propaganda and education besides the routine pre-anesthetic visit.The knowledge of extubation and general anesthesia were introduced to enhance the patients’ confidence and before anesthesia,the patients were informed again about the discomfortable feelings during the recovery period of general anesthesia.The recovery time of patients,the endotracheal extubation time of patients,RSS agitation scale at endotracheal extubation and VAS scale were assessed.Results There were no significant differences in two groups about recovery time and pain intensity.The endotracheal extubation time of group P was significantly shorter than that of group C(P<0.05).The incidence of agitation of group P were significantly lower than that of group C(P<0.05).Conclusion The occurrence of agitation of patients with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia can obviously decrease if the patients received propaganda and education before surgery,which can also improve the quality and safety of resuscitation.

Key words: Propaganda and education, Functional Endoscopic Sinus Surgery, Recovery period, Agitation

中图分类号:

R614

杨君君，张晓庆. 全麻前沟通与宣教对功能性鼻内窥镜手术患者全麻苏醒期躁动的影响[J]. 外科研究与新技术, 2013, 2(3): 163-166.

YANG Jun-jun, ZHANG Xiao-qing. Effects of the agitation in patients received propaganda and education before surgery with Functional Endoscopic Sinus Surgery in the recovery period of general anesthesia[J]. Surgical Research and New Technique, 2013, 2(3): 163-166.

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