Complications and nursing in the anesthesia recovery period of patients with Parkinson's disease underwent deep brain stimulation
10.3760/cma.j.issn.1674-2907.2017.17.023
- VernacularTitle:帕金森病患者脑深部电刺激术后麻醉恢复期常见并发症与护理
- Author:
Chunmei HOU
1
;
Huiwen WANG
;
Xuemei ZHANG
;
Hui FANG
;
Yumei LYU
;
Ruquan HAN
Author Information
1. 首都医科大学附属北京天坛医院麻醉科
- Keywords:
Parkinson disease;
Anesthesia recovery period;
Postoperative complications;
Deep brain stimulation
- From:
Chinese Journal of Modern Nursing
2017;23(17):2289-2291
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively investigate the incidence of complications for patients with Parkinson's disease underwent deep brain stimulation in the anesthesia recovery period so as to provide timely and effective nursing interventions in clinical practice.Methods A total of 869 patients with Parkinson's disease underwent deep brain stimulation enrolled into neurosurgery from March 2009 to June 2016 in Beijing Tian Tan Hospital were recruited and the situation in the anesthesia recovery period were analyzed. Nursing of complications including circulatory and respiratory systems, pain, shiver, postoperative nausea and vomiting (PONV), emergence delirium and delayed recovery were recorded.Results Totally 869 patients were enrolled in this study, 36.7% of which had complications as follows: hypertension (15.3%,n=133), arrhythmia (11.4%,n=99), emergence delirium (8.7%,n=76), respiratory obstruction (2.8%,n=24), PONV (2.1%, n=18), hypoxemia (2.0%,n=17), pain (1.2%,n=10), delayed recovery (1.2%,n=10), shiver (0.3%,n=3) and hypotension (0.1%,n=1). It was found that 97.7% (n=849) of patients were discharged from the postanesthesia care unit with modified Aldrete score ≥9, while 2.3% (n=20) of patients had scores ≤8.Conclusions Patients with Parkinson's disease underwent deep brain stimulation have specific complications. It is important to keep a stable circulation and prevent respiratory complications and aspiration in the anesthesia recovery period. Individual nursing interventions can keep the safety of patients and increase the quality of nursing.
