手术室预见性护理对腰-硬联合麻醉患者术后认知功能的影响

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Abstract Objective To investigate the effect of predictive nursing in the operating room on postoperative cognitive function of patients with combined spinal-epidural anesthesia. Methods From January to December 2019, 90 patients with fracture of lower extremity admitted to operating room of Huangshan City People′s Hospital were selected, the operation anesthesia mode was combined spinal-epidural anesthesia, and according to the random number method, they were divided into observation group and control group, with 45 cases in each group. The observation group was received predictive nursing, while the control group was received routine nursing. The scores of simple intelligent state check scale (MMSE) score and visual analogue scale (VAS) score were compared before and two, six, twelve hours after operation. The incidence of adverse reactions was recorded 24 hours after operation. At the time of discharge, the quality of nursing work in operating room was investigated. Results The MMSE score of the observation group was significantly higher than that of the control group at two hours and six hours after operation (P ＜ 0.05). The VAS scores at two, six and twelve hlours after surgery in both groups were significantly lower than those before surgery, and the observation group was significantly lower than the control group (P ＜ 0.05). The nursing technique, working attitude and communication ability of the observation group were significantly higher than those of the control group, the differences were statistically significant (P ＜ 0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group, the difference was statistically significant (P ＜ 0.05). Conclusion Predictive nursing in operating room has no adverse effect on postoperative cognitive function of patients with combined spinal-epidural anesthesia, which is safe and has high clinical application value.

Key words： Predictive nursing in operating room Combined spinal-epidural anesthesia Postoperative cognitive function

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MU Songhua. Effects of predictive nursing in operating room on postoperative cognitive function in patients with combined spinal-epidural anesthesia[J]. 中国医药导报, 2020, 17(25): 184-187.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I25/184

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