目的:观察麻醉恢复室以护士为基础、麻醉医生和专科医生共同督导的急性疼痛服务(NBASS-APS)模式护理对全身麻醉苏醒期复苏质量和并发症的影响.方法:选取2020年7月—2022年7月在北京大学深圳医院进行全麻手术且处于麻醉恢复期的80例患者作为研究对象,根据麻醉恢复室护理方法的不同分为常规组与观察组各40例,分别给予常规护理及NBASS-APS护理,观察两组患者麻醉期复苏质量、舒适情况及并发症发生情况.结果:观察组患者麻醉苏醒时间、自主呼吸时间、呼之握拳时间、拔管时间及出室时间均短于常规组,差异有统计学

Objective:To explore the application effect of SBAR communication mode in medical communication in anesthesia recovery room.Methods:From January to December 2019, 200 postoperative patients and 20 medical staff who entered the anesthesia recovery room of Peking University Shenzhen Hospital were selected as the observation group, and SBAR communication mode was adopted. In addition, 200 postoperative patients and 20 medical staff who entered the anesthesia recovery room of the hospital from January to December 2018 were selected as the control group, and the traditional mode of medical communication was adopted. The incidence of common anesthesia complications, assessment ability and satisfaction of both doctors and nurses were compared between the two groups.Results:The incidence of common anesthesia complications in the observation group was (5.00%) significantly lower than that in the control group(14.00%). The evaluation ability score of medical staff in the observation group was significantly better than that in the control group.The scores of medical staff satisfaction in the observation group were higher than those in the control group, and the differences were statistically significant( P<0.05). Conclusions:The SBAR communication mode is used to standardize the handover between the operation room and the recovery room in the medical communication in the anesthesia recovery room, which promotes the effective communication of medical care, reduces the occurrence of anesthesia complications, improves the ability of medical staff to evaluate the condition, improves the quality of medical care, and ensures the safety of patients. Doctors and nurses have higher satisfaction.

本文从台站地面综合观测业务软件(ISOS软件)运行注意事项、硬件故障、出现故障后的应急处置及通讯、应急发电等多个方面对自动气象站故障进行分析,找出解决方法,以期对台站监测人员解决问题起到一定指导作用.

Objective: To determine effects of length of epidural catheter insertion on frequency of the complication of intravascular epidural catheter placement in patients undergoing combined spinal-epidural anesthesia for caesarean section.Methods: 160 cases of ASAⅠ patients,aged(23~36)yr,weighing(55~75)kg and undergoing combined spinal-epidural anesthesia for caesarean section,were randomized into 4 groups,(40 in each).All the patients were pregnant at term without any complication of pregnancy and had normal function of blood coagulation.Moreover epidural catheters were all inserted(L_(2~3)) smoothly in the groups during anesthesia,but the length of inserted epidural catheter was 3cm,4cm,5cn and 6cm in the I,II,III and IV group respectively and the intravascular epidural catheter placement occurred was examined.Results: The frequency of intravascular epidural catheter placement inⅠ group,Ⅱ group,Ⅲ group and Ⅳ group was respectively 2.5%、5.0%、5.0% and 5.0%.No difference among the four groups(P>0.05).Conclusions: No relationship between the frequencies of the complication of intravascular placement and the length of inserted epidural catheter in epidural space in caesarean section undergoing combined spinal-epidural anesthesia.

Objective To determine the effects of different anticholinergic premedicants on incidenceof some adverse events during intravenous anesthesia using propofol for induced abortion. Methods150 ASAⅠ patients,aged 18～34yr,weighing 42～70kg,presenting for induced abortion under intravenousanesthesia using propofol,were randomized into 3 groups:atropine group(n=50);scopolamine group(n=50);normal saline group(control group,n=50).Each patient of atropine group and of scopolamine groupreceived,respectively,atropine 0.5mg and scopolamine 0.3mg intramuscularly 30min before anesthesia.Each patient of normal saline group received normal saline 1ml intramuscularly 30min before anesthesia.Afterwards each patient was anesthetized with propofol 2.5mg﹒kg-1 intravenously.After the operationstarted,if necessary, a supplementary dose of 3ml of propofol was infused each time according to thepatients' somatic response to operation until they became quiet.Each patient was observed to find outif some adverse events including hypersalivation,bradycardia and emergence agitation occurred duringanesthesia. Results Incidence rates of hypersalivation of the patients of atropine group, scopola-mine group and normal saline group were respectively 2.0%,2.0% and 16.0%; Incidence rates ofbradycardia were respectively 4.0%,2.0% and 6.0%; Incidence rates of emergence agitation wererespectively 6.0%,4.0% and 4.0%.The incidence of hypersalivation of the patients of atropine group wassignificantly less than that of the patients of normal saline group(P0.05),so was the incidence ofhypersalivation of the patients of scopolamine group(P0.05),but the incidence of hypersalivation did not differ significantly between atropine group and scopolamine group(P0.05).As to the incidence ofeither bradycardia or emergence agitation,compared anyone with another there was no significantdifference among three groups(P0.05). Conclusion Both premedication with atropine 0.5mg intramus-cularly and premedication with scopolamine 0.3mg intramuscularly can decrease incidence ofhypersalivation,but neither of them can decrease incidence of bradycardia or emergence agitation.