围术期护理干预对气管插管气道表面麻醉效果影响.docVIP

围术期护理干预对气管插管气道表面麻醉效果影响 　　[摘要] 目的 探讨围术期护理干预用于气管插管气道表面麻醉的效果，总结临床护理经验。 方法 选取我院2011年9月～2012年9月拟行全麻手术患者110例回顾性分析，按治疗方法分为对照组与观察组，均采用2%利多卡因雾化吸入麻醉，分别给予常规护理与围术期护理干预。 结果 两组治疗后FEP和FEV均明显增加，且观察组增加更为显著（P0.05）；观察组总有效率明显高于对照组（P0.05），不良反应发生率明显低于对照组（P0.05）。 结论 围术期护理干预可明显提高利多卡因雾化吸入气管插管的麻醉效果，提供充分的表面麻醉，减少患者不良反应的发生，值得临床推广和应用。 　　[关键词] 利多卡因；雾化吸入；气道表面麻醉；临床护理 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2013）13-148-02 　　Effect of perioperative nursing intervention on endotracheal intubation airway surface anesthesia 　　XIE Yanqun 　　Department of Surgery， Boluo Peoples Hospital of Guangdong Province， Boluo 516100， China 　　[Abstract] Objective To investigate the effect of perioperative nursing intervention on endotracheal intubation airway surface anesthesia and summarize clinical nursing experience. Methods 110 patients underwent general anesthesia surgery selected in our hospital from September 2011 to September 2012 were retrospectively analyzed. The patients were divided into the control group and the observation group according to the treatment methods， and were given 2% lidocaine aerosol inhalation anesthesia， and respectively given routine care and perioperative care intervention. Results After the treatment， the FEP and FEV of two groups were significantly increased， and those of the observation group increased more significantly （P0.05）； the total efficiency rate in the observation group was significantly higher than that in the control group （P0.05）， and the incidence of adverse reactions in the observation group was significantly lower than that in the control group （P0.05）. Conclusion Perioperative nursing intervention can significantly improve the lidocaine aerosol inhalation endotracheal intubation anesthesia effect， provide adequate surface anesthesia， reduce the incidence of adverse reactions in patients， and is worthy of clinical promotion and application. 　　[Key words] Lidocaine； Aerosol inhalation； Airway surface anesthesia； Clinical nursing 　　气管插管是临床进行麻醉、急重症抢救和治疗的主要手