Observation and Nursing Care of Patients with Arrhythmia during Anesthesia Recovery_West China Medical Journal

Authors：

 YunLinjun ,  YinXiaorong

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

Corresponding?author：

YinXiaorong, Email: 1813864144@qq.com

Keywords：

Anesthesia recovery; Arrhythmia; Nursing care

DOI：

10.7507/1002-0179.201600248

Video：

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Objective To analyze the occurrence of arrhythmia in patients during the recovery period of anesthesia, in order to take appropriate measures in nursing care to ensure the safety of patients. Method We carried out a retrospective analysis of 18 931 general anesthesia post-operative patients (aged 16-84 years old) transferred to anesthesia recovery from September 2012 to July 2013, and we observed the incidence rate of arrhythmia, and documented the clinical manifestations of the patients. Results During the anesthesia recovery, out of 18 931 general anesthesia postoperative patients, 269 cases of arrhythmia occurred, and the incidence rate was 1.42%. Twenty minutes after nursing intervention and use of medication, the difference of systolic blood pressure, bradycardic heart rate, and tachycardic heart rate of the patients were statistically better than those beofre the treatment (P＜ 0.05) . Conclusion Early discovery and analysis of arrhythmia in patients during anesthesia recovery, along with timely provision of analgesic and antiarrhythmic treatment can effectively improve the circulation status of the patients, thus ensure the safety of the patients during anesthesia recovery.

Citation： YunLinjun, YinXiaorong. Observation and Nursing Care of Patients with Arrhythmia during Anesthesia Recovery. West China Medical Journal, 2016, 31(5): 919-922. doi: 10.7507/1002-0179.201600248 Copy

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9.	Aldrete JA. The post-anesthesia recovery score revisited[J]. J Clin Anesth, 1995, 7(1): 89-91.
10.	王春光, 趙小祺. 圍手術期心律失常的原因與機制[J]. 中國老年學雜志, 2015, 35(1): 538-540.
11.	姚艷梅, 李蘭芳. 高素質護理人員在惡性心律失常護理中的重要性[J]. 中國醫學創新, 2011, 8(6): 123-124.
12.	Chan PS, Krmnholz HM, Nichol G, et al. Delayed time to defibrillation afterin-hospital cardiac attest[J]. N Engl J Med, 2008, 358(1): 9-17.
13.	張洪英, 王愛萍. 心律失常患者護理措施[J]. 中國中醫藥咨訊, 2011, 3(22): 281.
14.	范曉勇. 郭明琴.李香玲.術后麻醉患者轉運途中并發癥的原因分析及護理[J]. 河南外科雜志, 2014, 2(1): 152-153.
15.	陳盈佳. 淺析胸外科微創手術后心律失常的臨床護理與治療[J]. 大家健康, 2015, 9(4): 530-531.

1. 邢華, 白彥夫. 心律失常綜合護理干預的效果分析[J]. 中西醫結合心血管病電子雜志, 2014, 33(3): 125-126.
2. 吉小靜. 5例高鉀血癥致嚴重心律失常患者行急診血液透析的護理體會[J]. 齊齊哈爾醫學院學報, 2012, 33(21): 3018-3019.
3. 樓紅紅. “心律失常患者護理”教學設計探討[J]. 浙江醫學教育, 2014, 13(1): 17-19.
4. 吳振華, 李文洋, 馮麗, 等. 心律失常患者院內急救護理淺析[J]. 世界最新醫學信息文摘: 電子版, 2014, 14(5): 265-267.
5. 王松云, 魯志兵, 余鋰鐳, 等. 惡性心律失常的急診識別與處理[J]. 心血管病學進展, 2014, 35(2): 186-190.
6. 許慧穎. 惡性心率失常的搶救與護理[J]. 中國現代藥物應用, 2014, 8(3): 206-207.
7. 奧美燕. 重癥心律失常的護理體會[J]. 醫學美學美容: 中旬刊, 2014(7): 299-299.
8. Levine WC. Clinical aesthesia procedures of the Massachusetts General Hospital[M]. 8th ed. 王俊科, 于布為, 黃宇光, 譯. 北京: 科學出版社, 2013: 751-752.
9. Aldrete JA. The post-anesthesia recovery score revisited[J]. J Clin Anesth, 1995, 7(1): 89-91.
10. 王春光, 趙小祺. 圍手術期心律失常的原因與機制[J]. 中國老年學雜志, 2015, 35(1): 538-540.
11. 姚艷梅, 李蘭芳. 高素質護理人員在惡性心律失常護理中的重要性[J]. 中國醫學創新, 2011, 8(6): 123-124.
12. Chan PS, Krmnholz HM, Nichol G, et al. Delayed time to defibrillation afterin-hospital cardiac attest[J]. N Engl J Med, 2008, 358(1): 9-17.
13. 張洪英, 王愛萍. 心律失常患者護理措施[J]. 中國中醫藥咨訊, 2011, 3(22): 281.
14. 范曉勇. 郭明琴.李香玲.術后麻醉患者轉運途中并發癥的原因分析及護理[J]. 河南外科雜志, 2014, 2(1): 152-153.
15. 陳盈佳. 淺析胸外科微創手術后心律失常的臨床護理與治療[J]. 大家健康, 2015, 9(4): 530-531.

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Observation and Nursing Care of Patients with Arrhythmia during Anesthesia Recovery

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