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目的:探究麻醉深度监测对麻醉恢复室护理工作的影响及其临床上的应用价值。方法:选取2015年3月—2016年7月在武警浙江省总队嘉兴医院外科行全麻手术的患者1 064例,随机分为两组,各532例,实验组患者行麻醉深度监测,对照组行常规麻醉,根据患者生理指征调节麻醉药物使用量,术中采用吸入麻醉,手术结束后在麻醉恢复室中对患者加强护理,比较两组患者拔管时Ai、SpO_2、HR、MAP、拔管时间、观留时间、不良反应、SAS评分及护理满意度等指标。结果:实验组患者Ai、HR、MAP、拔管时间、观留时间、SAS评分、不良反应发生率均低于对照组,且差异有统计学意义;同时,实验组患者临床满意度高于对照组,差异有统计学意义。结论:麻醉深度监测应用于麻醉恢复室,能有效提高患者的疗效,减少不良反应发生,提高患者护理满意度。
Objective: To explore the effect of anesthesia monitoring on the nursing of anesthesia recovery room and its clinical value. Methods: A total of 1 064 patients undergoing general anesthesia in the Jiaxing Hospital of Zhejiang Province from March 2015 to July 2016 were randomly divided into two groups (n = 532). The patients in the experimental group underwent anesthesia monitoring and the control group The routine anesthesia was used to adjust the dosage of narcotic drugs according to the physiological indications of the patients. During the operation, inhalation anesthesia was used. After the operation, the patients were intensively nursed in the anesthesia recovery room. The extubation Ai, SpO_2, HR, MAP, Tube time, stay time, adverse reactions, SAS scores and nursing satisfaction indicators. Results: The Ai, HR, MAP, extubation time, stay time, SAS score and adverse reaction rate in the experimental group were lower than those in the control group, and the difference was statistically significant; meanwhile, the clinical satisfaction of the experimental group was higher than that of the control group Group, the difference was statistically significant. Conclusion: The depth of anesthesia monitoring used in anesthesia recovery room, which can effectively improve the efficacy of patients, reduce the incidence of adverse reactions and improve patient satisfaction with nursing.