目的观察录音笔提醒呼吸在减少老年全麻患者麻醉苏醒期呼吸遗忘的效果。方法将158例全麻术后进入麻醉复苏室复苏的老年患者,按手术日期单双号分为观察组82例和对照组76例,气管导管拔除后对照组采用常规护理方法提醒呼吸,观察组应用录音笔播放录音提醒呼吸。比较两组患者呼吸遗忘的次数及拔除气管导管后1 min、5 min、10min、15min的脉搏氧饱和度和使用盐酸多沙普伦的次数。结果观察组患者呼吸遗忘次数少于对照组,观察组气管导管拔除后5min时脉搏氧饱和度高于对照组,盐酸多沙普伦使用次数少于对照组,比较差异均有统计学意义。结论录音笔提醒呼吸可减少老年患者麻醉苏醒期呼吸遗忘的发生。 Objective To observe the effect of the voice recorder remind breathing on reducing respiratory distress during anesthesia and awakening in the elderly general anesthesia patients. Methods A total of 158 elderly patients admitted to anesthesia and recovery room after anesthesia were divided into observation group (n = 82) and control group (n = 76) according to the operation date. The control group was given conventional nursing method to remind the respiration after the tracheal tube was removed. The observation group Use voice recorder to play recording to remind breathing. The frequency of respiratory obliteration and pulse oximetry at 1, 5, 10, 15 min after tracheal aspiration were removed and the number of doxopram hydrochloride used were compared between the two groups. Results In the observation group, the frequency of respiratory obliteration was less than that of the control group. The pulse oxygen saturation of the observation group was higher than that of the control group 5 min after the tracheal tube was removed, and the use frequency of doxorubicin hydrochloride was less than that of the control group. The differences were statistically significant. Conclusion Voice recorder remind breathing can reduce the elderly patients during anesthesia wakefulness of respiratory failure.