摘要
目的 探究保温护理措施对麻醉恢复期患者术后恢复及镇痛效果的影响。方法 选择2021年1月~2022年12月间，本院内开展全麻手术并转入麻醉恢复室的患者100例作为研究对象。设计对照研究，抽签法随机分为2组，50例/组。对照组行常规护理，观察组则于对照组基础上采用保温护理措施。比较两组恢复效果、并发症发生率、术后疼痛感以及手术前后应激水平。结果 恢复效果中，观察组意识清醒时间、胃肠恢复时间、恢复室滞留时间均较对照组短，术后1 h的体温较对照组高（P<0.05）。并发症中，观察组发生率较对照组低（P<0.05）。术后疼痛感中，观察组护理后6 h、护理后12 h时的VAS得分较对照组低（P<0.05）。应激水平中，观察组术后CRP、NE、AD水平均较对照组低（P<0.05）。结论 保温护理措施可促进麻醉恢复期患者的术后恢复，减轻术后疼痛感，并降低应激水平，减少麻醉恢复期并发症，值得推广。
关键词： 麻醉恢复期；保温护理措施；术后恢复；镇痛效果；并发症；应激水平
Abstract
Objective To explore the effect of thermal insulation nursing measures on postoperative recovery and analgesic effect in patients recovering from anesthesia. Methods 20 From January 2021 to December 2022,100 patients undergoing general anesthesia surgery were selected as the study subjects. A control study was designed, and the lottery method was randomly divided into 2 groups with 50 cases / group. The control group performed routine nursing, and the observation group used thermal insulation nursing measures on the basis of the control group. The recovery effect, complication rate, postoperative pain feeling, and stress levels before and after surgery were compared between the two groups. Results In the recovery effect, the time of consciousness, gastrointestinal recovery time and retention time in the recovery room were shorter than that of the control group, and the body temperature at 1 h after surgery was higher than that of the control group (P <0.05). Among complications, the observation group was lower than the control group (P <0.05). In postoperative pain, the VAS scores at 6 h and 12 h after nursing in the observation group were lower than that of the control group (P <0.05). Among the stress levels, the postoperative CRP, NE and AD levels were lower than the control group (P <0.05). Conclusion Insulation care measures can promote the postoperative recovery of patients recovering from anesthesia, reduce postoperative pain, and reduce the level of stress and complications during anesthesia recovery, which is worth promoting.
Key words： Anesthesia recovery period; Thermal insulation care measures; Postoperative recovery; Analgesic effect; Complications; Stress level
参考文献 References
[1] 黎海芹,袁步芳,潘惠萍. 保温护理措施对肝癌手术患者麻醉恢复期的影响[J]. 实用临床护理学电子杂志,2019, 4(15):54,58.
[2] 麦志玲.不同年龄段患者全麻术后麻醉恢复期的常见并发症观察及护理对策[J].首都食品与医药,2020,27(4): 102-103.
[3] 廖丽娜,武燕.全麻术后不同年龄患者麻醉恢复期并发症的临床评估及护理对策[J].医药前沿,2019,9(2):201.
[4] 庄莉.预防低体温护理干预对患者麻醉恢复期的影响[J].当代护士（下旬刊）,2020,27(7):125-127.
[5] 刘盼盼.手术室保温护理对全麻恢复期患者生命体征的影响[J].实用妇科内分泌电子杂志,2020,7(12):130-131.
[6] 谢琴. 保温护理对老年宫颈癌患者麻醉恢复期体温及并发症的影响[J]. 中国老年保健医学,2020,18(2):140-141,144.
[7] 闫红. 低体温对成人麻醉恢复期的影响与护理对策探讨[J]. 医学食疗与健康,2020,18(20):149,151.
[8] 谭理. 探讨术中低体温对患者麻醉恢复期的影响及护理干预效果[J]. 中国社区医师,2019,35(31):152-153.
[9] 葛贝贝,郭红兵.充气式保温毯在麻醉复苏室全身麻醉恢复期患者护理中的应用效果[J].医药前沿,2022,12(26): 106-108.
[10] 李小丽.保温护理措施对麻醉恢复期患者术后恢复及镇痛效果的影响[J].中国药物与临床,2021,21(8):1430-1432.