Observation and Nursing of Hypotension for Patients during Anesthesia Recovery Period_West China Medical Journal

Authors：

 LILi-sha ,  YINXiao-rong

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YINXiao-rong, Email: 1813864144@qq.com

Keywords：

Anesthesia recovery period; Hypotension; Nursing

DOI：

10.7507/1002-0179.20150657

Video：

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Objective To observe the incidence of hypotension in general anesthesia patients in post anesthesia care unit (PACU), compare the blood pressure before and after treatment, and analyze hypotension causes. Method Between September 2012 and July 2013, data of 18 931 patients in PACU after general anesthesia were retrospectively analyzed for the incidence of hypotension. At the same time, the change of blood pressure was also detected before and after treatment. Results Sixty-two patients had hypotension during the anesthesia recovery period after general anesthesia. The incidence was 0.33%. The proportion was the highest among patients who underwent abdominal surgery, reaching 41.9%. Systolic pressure and diastolic pressure improved significantly after treatment (P<0.05). Conclusions It is important to perform comprehensive evaluation of vital signs, closely observe disease conditions and vital sign changes, find out and manage low blood pressure for patients in PACU, which secure their safety.

Citation： LILi-sha, YINXiao-rong. Observation and Nursing of Hypotension for Patients during Anesthesia Recovery Period. West China Medical Journal, 2015, 30(12): 2295-2298. doi: 10.7507/1002-0179.20150657 Copy

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1. 许玮, 刘菲. 麻醉复苏室的护理隐患分析及预防措施[J]. 哈尔滨医药, 2013, 33(1):18-19.
2. 余本莉. 怎样做好麻醉复苏室的建设与护理工作[J]. 大众健康, 2012(9):308.
3. 王俊科, 于布为, 黄宇光. 麻省总医院临床麻醉手册中文翻译版[M]. 北京:科学出版社, 2012:748-755.
4. 黄雄庆, 王钟兴, 汪凡, 等. 老年患者麻醉恢复延迟原因探讨[J]. 中山医科大学学报, 2002, 23(3):221-223.
5. 陈肖敏, JeanBurgdorff. 创建麻醉恢复室的护理管理模式[J]. 护理学杂志, 2000, 15(4):244-245.
6. Aldrete JA. The post-anesthesia recovery score revisited[J]. J Clin Anesth, 1995, 7(1):89-91.
7. 赵艳丽, 张丹妹. 5例关节置换术后低血压原因分析及护理对策[J]. 现代中西医结合杂志, 2013(1):99-100.
8. 孟承伟, 吴再德, 吴肇汉, 等. 外科休克科学[M]. 北京人民卫生出版社, 2008:37.
9. 陈军. 腹部手术后持续性低血压[J]. 中国医药指南, 2012, 10(12):608-609.
10. 孟月华. 择期手术病人术前禁食禁饮的研究进展[D]. 温州:温州医学院, 2013.
11. 侯芳, 张琪芳, 袁艳荣. 心脏外科手术后患者早期急性低血压的原因分析及护理对策[J]. 齐鲁护理杂志, 2012, 18(32):86-88.
12. 陈晴莎, 王艳, 杜斌. 全麻低体温低血压一例[J]. 临床麻醉学杂志, 2008, 24(6):506.
13. 曹英. 心脏介入术后低血压常见原因分析及处理[J]. 医学信息, 2015(16):182.
14. 刘秀梅, 林英华, 卓玉荣. 颅内动脉瘤术后并发低血压的护理[J]. 护士进修杂志, 2014, 29(7):669-670.
15. 沈卫峰. 实用介入性心脏病学[M]. 上海:上海科技教育出版社, 1997:31.
16. 刘英杰, 吕捷. 冠心病介入治疗导致低血压的观察与护理[J]. 现代中西医结合杂志, 2009, 18(27):3373-3374.
17. 谢莲金. 全麻术后患者苏醒期的监测及护理管理[J]. 齐齐哈尔医学院学报, 2013, 34(22):3389-3390.
18. 赵俊杰, 赵俊. 现代麻醉学[M]. 北京:人民卫生出版社, 1987:42.

West China Medical Journal

Observation and Nursing of Hypotension for Patients during Anesthesia Recovery Period

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