阮瑜 陈秀玲

[摘要] 目的 探究应用精细化复苏护理对小儿喉罩麻醉术后在PACU（麻醉恢复室）中的效果。方法 依据随机抽签法，将方便选取2017年6月—2019年1月在该院进行小儿喉罩全麻术后在PACU复苏观察的80例患儿分为两组，即实施常规麻醉复苏护理的患儿列为常规组（n=40），实施精细化复苏护理的患儿列为精细组（n=40）。分析比对在PACU护理期间并发症发生情况与患儿家属护理满意度。结果 精细组患儿的并发症发生率较常规组低（5.00% vs 25.00%）（χ2=6.27，P<0.05）;精细组满意率较常规组高（97.50% vs 77.50%）（χ2=7.31，P<0.05）。结论 小儿喉罩全麻术后在PACU中实施精细化护理措施可降低并发症发生概率，有助于提升患儿家属的护理满意率。

[关键词] 喉罩全麻术;小儿;PACU;精细化复苏护理

[中图分类号] R473.72          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0151-03

Effect of Fine Resuscitation Nursing in PACU after Laryngeal Mask General Anesthesia in Children

RUAN Yu， CHEN Xiu-ling

Department of Anesthesiology， the First Affiliated Hospital of Xiamen University， Xiamen，Fujian Province，361003 China

[Abstract] Objective To explore the effect of fine resuscitation nursing on PACU （anesthesia recovery room） after laryngeal mask anesthesia in children. Methods According to the random drawing method， convenient select 80 children who underwent PACU resuscitation observation after pediatric laryngeal mask anesthesia in the hospital from June 2017 to January 2019 were divided into two groups， that is， children who received conventional anesthesia resuscitation care. The patients were classified as the conventional group （n=40）， and the children who were given refined resuscitation care were classified as the fine group （n=40）. Analyze and compare the complications and nursing satisfaction of children's families during PACU nursing. Results The incidence of complications in children in the fine group was lower than that in the conventional group （5.00% vs 25.00%）（χ2=6.27， P<0.05）; the satisfaction rate in the fine group was higher than that in the conventional group （97.50% vs 77.50%） （χ2=7.31， P<0.05）. Conclusion The implementation of fine nursing measures in PACU after general anesthesia for children with laryngeal mask can reduce the probability of complications and help improve the nursing satisfaction rate of children's families.

[Key words] General laryngeal mask anesthesia; Pediatrics; PACU; Refined resuscitation care

喉罩全麻是一種通过借助人工安全气道实施麻醉的方式，与传统常规的气管插管相比较，喉罩具有降低气管黏膜损伤、应激性小、操作简单等优点，可在实施麻醉过程中确保患儿血流动力学的稳定，有助于提高治疗的安全性[1-2]。尽管喉罩麻醉有着以上优点，但喉罩的低密封性容易使患儿在拔管时诱发躁动等并发症，从而影响患儿的预后[3]。PACU的工作重心是利用各种仪器设备监护麻醉患儿复苏的过程，在PACU的监护工作中实施恰当的护理方法可减少术后出现并发症的概率，提高治疗与护理的有效性[4]。精细化复苏护理是一种根据小儿喉罩全麻术后特点实施麻醉复苏的护理方式，目前已有研究证实该护理模式在小儿喉罩全麻术中可取得良好的应用效果。故该研究将精细化复苏护理运用于40例小儿喉罩全麻术后患儿（2017年6月—2019年1月）PACU观察中，现报道如下。……