鼻子 splinting 和口腔呼吸训练减少内镜鼻手术后出现妄想:一个随机对照试验
Hongjiao Xu1, Zhenyuan Shen2, Yuyu Gu3
1Department of Anesthesiology, Shanghai General Hospital of Nanjing Medical University, 100 Haining Road, Hongkou District, Shanghai, 200080, China.
BMC anesthesiology
|September 7, 2023
概括
手术前的鼻和口腔呼吸训练有效地预防了全身麻醉后出现妄 (ED). 与标准护理相比,这种干预措施显著降低了接受内镜外科手术的患者的ED发生率.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 出现妄想 (ED) 是麻醉后的常见并发症,与不良的长期结果有关.
- 预防ED对于改善患者康复和降低相关风险至关重要.
研究的目的:
- 评估手术前鼻子 splinting 和口腔呼吸训练在预防ED方面的有效性.
- 评估这项干预措施对接受内镜鼻手术全身麻醉的患者的影响.
主要方法:
- 一项随机对照试验,涉及200名接受内镜外科手术的成年患者.
- 患者被分配到鼻子 splinting 和口腔呼吸训练或标准护理.
- 在30分钟内使用Riker镇静激发量表评估出发狂妄.
主要成果:
- 与对照组 (35.6%) (P=0.004) 相比,干预组的ED发病率明显较低 (16.3%).
- 男性性别,吸烟和功能性内镜外科手术 (FESS) 被确定为ED的独立风险因素.
- 总共有182名患者被纳入最终分析.
结论:
- 手术前的鼻子 splinting 和口腔呼吸训练显著降低了出现 Delirium 的发生率.
- 这种干预为接受内镜外科手术的患者预防ED提供了一个有前途的策略.
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