[1]吴巧,薄禄龙,张丽君,等.胃肠外科肿瘤患者全麻拔管后呼吸系统不良事件发生现状分析[J].解放军护理杂志,2021,38(06):38-41.[doi:10.3969/j.issn.1008-9993.2021.06.010]
　WU Qiao,BO Lulong,ZHANG Lijun,et al.Status Quo of Respiratory System Adverse Events after the Tracheal Extubation for Patients with Gastrointestinal Tumor During the Anesthesia Recovery Period[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(06):38-41.[doi:10.3969/j.issn.1008-9993.2021.06.010]
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胃肠外科肿瘤患者全麻拔管后呼吸系统不良事件发生现状分析()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年06期
页码:
38-41
栏目:
研究荟萃
出版日期:
2021-06-15

文章信息/Info

Title:
Status Quo of Respiratory System Adverse Events after the Tracheal Extubation for Patients with Gastrointestinal Tumor During the Anesthesia Recovery Period
文章编号:
1008-9993(2021)06-0038-04
作者:
吴巧1; 2; 薄禄龙2; 张丽君2; 钱晓春2; 韩烨2; 俞海萍3
1.同济大学 医学院,上海 200120; 2.海军军医大学第一附属医院 麻醉学部,上海 200433; 3.同济大学附属东方医院 护理部,上海 200123
Author(s):
WU Qiao1; 2; BO Lulong2; ZHANG Lijun2; QIAN Xiaochun2; HAN Ye2; YU Haiping 3
1.School of Medcine,Tongji University,Shanghai 200120,China; 2.Department of Anesthesiology,the First Affiliated Hospital,Naval Medical University,Shanghai 200438,China; 3.Nursing Department,Shanghai East Hospital,Tongji University,Shanghai 200123,China
关键词:
呼气末二氧化碳;  苏醒期;  呼吸抑制;  低氧血症;  呼吸系统;  不良事件
Keywords:
end-tidal carbon dioxide;  recovery period;  respiratory depression;  hypoxemia;  respiratory system;  adverse events
分类号:
R473.73
DOI:
10.3969/j.issn.1008-9993.2021.06.010
文献标志码:
A
摘要:
目的 了解麻醉后监护治疗室(post-anesthesia care unit,PACU)胃肠外科肿瘤患者全麻苏醒期气管导管拔除后呼吸系统不良事件发生现状。方法 便利抽样法选取2020年12月至2021年1月某院全身麻醉术后带气管导管入PACU的择期胃肠外科肿瘤患者236例为研究对象,记录各类呼吸系统不良事件的发生时间、持续时间、发生次数和人数。结果 本组患者中,120例发生呼吸暂停,101例发生呼吸抑制,68例发生去氧饱和,50例发生低氧血症,5例发生严重缺氧,1例因苏醒延迟导致延迟出室。呼吸抑制患者中,71.66%发生在拔管后3 min内,73.26%持续时间超过1 min; 去氧饱和患者中,67.32%发生在拔管后3 min内,47.05%持续时间超过1 min; 低氧血症患者中,52.00%发生在拔管后3 min内,42.00%持续时间超过1 min。5例严重缺氧患者此前均发生呼吸抑制、去氧饱和和低氧血症。结论 PACU胃肠外科肿瘤患者全身麻醉拔管后呼吸系统不良事件发生率较高,须加强对拔管后患者的呼吸管理。
Abstract:
Objective To explore the status quo of respiratory adverse events after the tracheal extubation in patients with gastrointestinal tumor during the anesthesia recovery period so as to provide evidence for predictive respiratory management.Methods From December 2020 to January 2021,236 patients who underwent gastrointestinal tumor surgery and were admitted to post-anesthesia care unit(PACU)with endotracheal tube after general anesthesia were selected by convenience sampling method.And the information including the occurrence time,duration,frequency and number of patients was recorded.Results Among the 236 patients,120 patients had apnea,101 patients had respiratory depression,68 patients had oxygen desaturation,50 patients had hypoxemia,5 patients had severe hypoxia,and 1 patient had delayed out of the room due to delayed recovery.For patients with respiratory depression,71.66% occurred within 3 minutes after extubation,and 73.26% lasted more than 1 minute.For patients with desaturation,67.32% occurred within 3 minutes after extubation,and 47.05% lasted more than 1 minute.For patients with hypoxemia,52.00% occurred within 3 minutes after extubation,and 42.00% lasted more than 1 minute.All the 5 patients with severe hypoxia used to have respiratory depression,desaturation and hypoxemia.Conclusions The occurrence rate of respiratory adverse events among gastrointestinal tumor patients after the tracheal extubation in PACU is still high.Thus,medical staff should pay more attention to the management of patients after tracheal extubation.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-19 【 修回日期 】 2021-05-15
【 基金项目 】 上海市青年科技启明星计划(19QA1408500); 海军军医大学第一附属医院“234学科攀峰计划”(2020YXK053)
【 作者简介 】 吴巧,硕士在读,护师,从事苏醒期麻醉护理工作
【 通信作者 】 俞海萍,电话:021-50336632
更新日期/Last Update: 2021-06-15