文章摘要
中西医防治全身麻醉术后苏醒延迟的研究进展
Research progress of prevention and management of delayed awakening after general anesthesia in Chinese and Western medicine
  
DOI:10.12089/jca.2022.10.016
中文关键词: 全身麻醉  苏醒延迟  中西医结合  综述
英文关键词: General anesthesia  Delayed awakening  Integration of Chinese and Western medicine  Review
基金项目:国家自然科学基金面上项目(81072960);山东省自然科学基金面上项目(ZR2020MH391);山东省自然科学基金面上项目(ZR2021MH168);山东省中医药科技发展计划项目(2019-0176)
作者单位E-mail
司尚坤 250014,济南市,山东中医药大学中医学院  
赵启东 山东中医药大学附属医院麻醉科  
张栋斌 山东中医药大学附属医院麻醉科  
季加富 山东中医药大学附属医院麻醉科  
张维亮 山东中医药大学附属医院麻醉科  
苏帆 山东中医药大学附属医院麻醉科 boatsail@126.com 
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中文摘要:
      全身麻醉术后苏醒延迟严重影响患者术后转运及恢复质量,其机制和相关风险尚未明确,因此缺少确切、有效的综合预防与处理措施。目前临床多以术前充分准备、优化麻醉方案、重视器官功能保护以及体温与容量调控作为主要预防手段;在苏醒期及时评估、预判和预处理,并在对症、支持治疗的基础上使用拮抗与催醒药物是苏醒延迟的主要处理手段。此外,针刺、穴位刺激及中药制剂在围术期的应用极大地丰富了苏醒延迟的预防与处理手段。本文对近年来中西医预防与处理苏醒延迟的研究进行综述,以期探索中西医结合改善全身麻醉患者苏醒质量、预防与处理苏醒延迟的新思路和新方法。
英文摘要:
      Delayed awakening after general anesthesia seriously affects postoperative patient transport and recovery quality, its mechanism and related risks are not clear, and there is less of precise and effective comprehensive prevention and management. At present, adequate preoperative preparation, optimization of anesthesia plan and drug application, attention to organ function protection, and body temperature, and volume regulation are the main prevention methods. Timely assessment, prediction and pre-treatment, as well as the use of antagonistic and awakening drugs on the basis of symptomatic and supportive treatment, are the main treatment methods for delayed awakening. In addition, the application of acupuncture, acupoint stimulation and traditional Chinese medicine preparation in perioperative period greatly enrich the means of prevention and management of delayed awakening. This article reviews the recent studies on prevention and management of delayed awakening in both Chinese and Western medicine, in order to explore new ideas and methods of combining Chinese and Western medicine for improving the quality of awakening, preventing and treating delayed awakening in patients under general anesthesia.
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