Application effect of operating room system nursing in elderly patients undergoing general anesthesia surgery
手术室系统护理在行全身麻醉手术老年患者中的应用效果

摘要

目的 观察分析对行全身麻醉手术老年患者实施手术室系统护理的临床效果和应用价值。方法 选择院内就诊的60例行全身麻醉手术老年患者，以随机数字为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，手术室系统护理。收集分析护理效果。结果 与对照组相比，实验组恢复自主呼吸时长、拔管时长、完成指令时长、睁眼时长更短，手术完成时的舒张压、收缩压、心率更高；手术完成时和手术完成2h后的去甲肾上腺素、皮质醇、超敏C反应蛋白水平更低，差异均具有统计学意义（P＜0.05）。结论 手术室系统护理可以有效减少行全身麻醉手术老年患者麻醉恢复所需时间，促进生命体征稳定，降低应激反应风险，促进手术顺利实施，改善预后，有较高应用价值。

Abstract

Objective Observation and analysis of the clinical efficacy and application value of implementing operating room systematic nursing for elderly patients undergoing general anesthesia surgery.
Methods Sixty elderly patients who underwent general anesthesia surgery in the hospital were selected, and were randomly divided into two groups based on random numbers: control group and experimental group. The number of observed cases was highly consistent. Implement routine nursing and operating room systematic nursing separately. Collect and analyze nursing outcomes.
Results Compared with the control group, the experimental group had shorter recovery time of spontaneous breathing, extubation time, completion time of instructions, and eye opening time, and higher diastolic blood pressure, systolic blood pressure, and heart rate at the completion of surgery; The levels of norepinephrine, cortisol, and high-sensitivity C-reactive protein were lower at the time of surgery and 2 hours after surgery, and the differences were statistically significant (P<0.05).
Conclusion   Systematic nursing in the operating room can effectively reduce the time required for anesthesia recovery in elderly patients undergoing general anesthesia surgery, promote stable vital signs, reduce the risk of stress reactions, facilitate smooth surgical implementation, improve prognosis, and have high application value.