[摘 要]目的 探究整形美容患者应用手术室整体护理的效果及对局部麻醉应激反应的影响。方法 选取我院2021年12月-2023年11月收治的整形美容手术患者72例，按照随机数字表法分为试验组和对照组，各36例。对照组应用常规护理，试验组应用手术室整体护理。比较两组应激反应(心率、平均动脉压)、不良情绪评分[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、护理质量、不良事件发生情况及满意度。结果 试验组手术开始后30 min与术后10 min心率、平均动脉压低于对照组(P<0.05)；两组干预后SDS和SAS评分低于干预前，且试验组低于对照组(P<0.05)；试验组服务态度、基础护理、环境管理和操作水平评分高于对照组(P<0.05)；试验组不良事件发生率低于对照组(P<0.05)；试验组满意度高于对照组(P<0.05)。结论 整形美容手术中，采用手术室整体护理能降低患者局部麻醉的应激反应，缓解不良情绪，提升护理质量，减少不良事件发生几率，且患者满意度较高。

    [关键词] 整形美容；手术室整体护理；局部麻醉；应激反应

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)20-0174-04

    Effect of Holistic Nursing in Operating Room on Reducing Local Anesthesia Stress Response in Patients with Aesthetic Plastic Surgery

    HUANG Jie， FENG Sirui， CHEN Qin

    (Department of Anesthesiology， Nanchong Central Hospital， Nanchong 637000， Sichuan， China)

    [Abstract]Objective To explore the effect of holistic nursing in operating room and its influence on local anesthesia stress response in patients with aesthetic plastic surgery. Methods A total of 72 patients with aesthetic plastic surgery admitted to our hospital from December 2021 to November 2023 were selected and divided into experimental group and control group according to the random number table method ......