深度和清醒的输出管对鼻腔手术后出现动荡的影响:一个随机对照试验
Lulu Suo1, Lu Lu1, Jingjie Li1
1Department of Anaesthesiology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No.639 Zhizaoju Road, Shanghai, 200125, China.
深度输出管显著减少了鼻腔手术后出现的激动. 这种方法比清醒时的输出管更安全,不增加不良事件,改善了患者在麻醉后的康复.
科学领域:
- 麻醉学 麻醉学
- 术后恢复 术后恢复
- 患者安全 患者安全
背景情况:
- 麻醉后出现动荡是全身麻醉后的常见并发症.
- 与其他手术相比,鼻腔手术患者出现出现激动的发病率更高.
- 出现动荡的不良后果包括伤害和心肺呼吸系统并发症.
研究的目的:
- 评估鼻腔外科手术患者出现突发动荡的发生情况.
- 为了比较深度输出与清醒输出,用于管理出现动荡.
- 评估输出管的策略对患者动荡和安全的影响.
主要方法:
- 接受鼻腔手术的202名成年患者随机分为深度 (D组) 或清醒 (A组) 输出管组.
- 主要结局是出现动荡的发生率.
- 二级结局包括激动情节,镇静评分,生命体征和不良事件.
主要成果:
- 与清醒组 (72.8%) 相比,在深度输出管组 (34.7%) 中,突发动作发生的频率较低.
- 深度输出管与较低的激发得分和改善输出管后镇静相关.
- 两组之间在不良事件发生率上没有发现显著差异.
结论:
- 在深度麻醉下进行输出管是减少鼻腔外科手术中出现动荡的有效策略.
- 这种方法可以提高患者的舒适度和恢复,而不会影响安全.
- 深度输出管在这种患者群体中为管理麻醉后出现提供了一个有益的替代方案.
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