【摘要】 目的 探讨快速康复外科理念下多科协作管理模式对腹腔镜术后麻醉复苏延迟患者睡眠质量与脑氧代谢改善的作用。方法 选择2021年8月至2022年12月青岛市胶州中心医院78例接受腹腔镜手术且出现麻醉复苏延迟的患者为研究对象，通过随机数字表法分为对照组和观察组，对照组39例采用常规护理，观察组39例应用基于快速康复外科理念下多科协作管理模式，比较两组手术前后睡眠质量、脑氧代谢指标及术后并发症、麻醉复苏指标水平。结果 两组术前1d睡眠质量比较，差异无统计学意义（P>0.05）,观察组术后24 h、48h的睡眠质量优于对照组（P<0.05）。两组术前脑氧代谢指标水平差异无统计学意义（P>0.05）,术后24 h、48 h观察组脑氧摄取率（CEO₂）及颈内静脉血氧饱和度（SjvO₂）水平均高于对照组（P<0.05）。观察组术后并发症总发生率较对照组低（P<0.05）。观察组的清醒时间、下床活动时间、首次排气时间、肠胃功能恢复时间短于对照组（P<0.05）。结论 基于快速康复外科理念下多科协作管理模式可有效改善腹腔镜术后麻醉复苏延迟患者的睡眠质量、脑氧代谢、麻醉复苏指标，同时还能够减少并发症。更多还原

【Abstract】 Objective: To investigate the effect of multi-department cooperative management model under the concept of rapid rehabilitation surgery on the improvement of sleep quality and cerebral oxygen metabolism in patients with delayed anesthesia recovery after laparoscopic surgery.Methods:A total of 78 patients who underwent laparoscopic surgery and experienced delayed anesthesia resuscitation in Jiaozhou Central Hospital of Qingdao from August 2021 to December 2022 were selected as the study objects, and were divided into control group and observation group by random number table method.39 patients in the control group received routine nursing, and 39 patients in the observation group received multi-disciplinary cooperative management mode based on the concept of rapid rehabilitation surgery.Sleep quality, cerebral oxygen metabolism indexes, postoperative complications and anesthesia resuscitation indexes were compared between the two groups before and after surgery.Results:There was no significant difference in sleep quality 1 day before surgery between the two groups(P>0.05).The sleep quality of the observation group was better than that of the control group 24 h and 48h after surgery(P<0.05).There was no significant difference in the level of cerebral oxygen metabolism indexes between the two groups before surgery(P>0.05).The level of cerebral oxygen uptake rate(CEO2) and jugular vein blood oxygen saturation(SjvO2) in the observation group were higher than those in the control group 24 h and 48 h after surgery(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The waking time, getting out of bed time, first exhaust time and gastrointestinal function recovery time of observation group were shorter than those of control group(P<0.05).Conclusion:The multi-department cooperative management model based on the concept of rapid rehabilitation surgery can effectively improve the sleep quality, cerebral oxygen metabolism and anesthesia resuscitation indexes of patients with delayed anesthesia resuscitation after laparoscopic surgery, and can also reduce complications.更多还原