通讯作者: 黄艺红, hyhxmdxfsdyyy@163.com

DOI：10.12201/bmr.202607.00021

Effect analysis of diversified management led by anesthesia nursing team in the management of elderly patients in the recovery period after general anesthesia

• 摘要：【摘要】目的：探讨麻醉护理团队主导的多元化管理应用于老年患者全身麻醉术后复苏期管理中的效果。方法：采用随机数字表法，将2023年10月—2024年10月于厦门大学附属第一医院行择期手术的106例老年患者（年龄≥65岁）分为对照组（n=53）与多元化管理组（n=53）。对照组实施全麻术后复苏期常规干预，多元化管理组在常规干预的基础上，由麻醉护理团队实施多元化管理。比较两组患者：①术后苏醒情况包括麻醉苏醒时间、拔管时间及出复苏室（PACU）时间；②认知功能采用简易精神状态检查量表（MMSE）评估；③躁动程度应用镇静躁动评分量表（RASS）评估；④复苏期并发症发生情况。结果：多元管理组麻醉苏醒时间、拔管时间及出PACU时间均显著短于对照组（P<0.05）。术后离开PACU时多元管理组MMSE评分显著高于对照组（P<0.05），且复苏期RASS评分显著低于对照组（P<0.05）。多元管理组意识障碍、低血压等单项并发症发生率低于对照组（P>0.05），但总发生率（11.32%）显著低于对照组（30.18%），差异有统计学意义（P<0.05）。结论：麻醉护理团队主导的多元化管理应用于老年患者全身麻醉术后复苏期，能够显著缩短麻醉苏醒时间、拔管时间及离开PACU时间，有效改善复苏期认知功能，减轻躁动程度，并降低术后并发症发生风险。

  关键词： 全身麻醉；术后复苏期；老年患者；麻醉护理团队；多元化管理; ; ; ; 

   

  Abstract: Abstract Objective: To explore the effect of diversified management led by anesthesia nursing team in the management of elderly patients in the recovery period after general anesthesia.Methods: Using a random number table method, 106 elderly patients (aged ≥65 years) who underwent elective surgery in The First Affiliated Hospital of Xiamen University from October 2023 to October 2024 were divided into a control group (n=53) and a diversified management group (n=53). The control group received routine intervention during the recovery period after general anesthesia, while the diversified management group received diversified management implemented by the anesthesia nursing team on the basis of routine intervention. The two groups were compared regarding: ① postoperative recovery (including anesthesia recovery time, extubation time, and PACU discharge time); ② cognitive function (assessed by MMSE); ③ degree of agitation (evaluated by RASS); and ④ occurrence of complications during recovery.Results: The anesthesia recovery time, extubation time and PACU time in the multiple management group were significantly shorter than those in the control group (P<0.05). MMSE score in the multiple management group was significantly higher than that in the control group when leaving PACU after operation (P<0.05), and RASS score in the recovery period was significantly lower than that in the control group (P<0.05). The incidence of single complications such as disturbance of consciousness and hypotension in the multiple management group was lower than that in the control group (P>0.05), but the total incidence (11.32%) was significantly lower than that in the control group (30.18%), the difference was statistically significant (P<0.05)..Conclusion: The application of diversified management led by anesthesia nursing team in the recovery period of elderly patients after general anesthesia can significantly shorten the anesthesia recovery time, extubation time and the time to leave PACU, effectively improve the cognitive function in the recovery period, reduce the degree of agitation, and reduce the risk of postoperative complications.

  Key words: General anesthesia; Postoperative recovery period; Elderly patients; Anesthesia nursing team; Diversified management

  提交时间：2026-07-14

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• 序号	提交日期	编号	操作
  1	2026-05-24	10.12201/bmr.202607.00021V1	下载

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