全程心理疏导联合术后镇痛对全身麻醉开胸手术患者苏醒期躁动的影响

The Effects of Mental Intervention Combined with Postoperative Analgesia on Restlessness During Anesthesia Recovery Period in Patients Undergoing Thoracotomy

目的评价全程心理疏导联合术后镇痛预防全身麻醉开胸手术患者苏醒期躁动的临床效果。方法选择全身麻醉下行择期开胸手术患者160例,随机分为4组:常规访视组(A组)、全程心理疏导组(B组)、术后镇痛组(C组)及全程心理疏导联合术后镇痛组(D组),每组40例。记录麻醉前(T0)、手术结束时(T1)、拔出气管导管即刻(T2)、拔出气管导管后5 min(T3)、拔出气管导管后10 min(T4)的平均动脉压(MAP)、心率(HR),观察并记录患者麻醉苏醒期操作配合程度及苏醒期躁动发生率。结果4组患者术后苏醒时间和拔管时间组间差异无统计学意义(P>0.05)。A、B、C 3组患者T2时MAP水平和HR水平与T0时比较,差异均有统计学意义(P<0.05)。A组苏醒期躁动发生率与B组、C组及D组比较,D组与B组、C组比较,差异均有统计学意义(P<0.05)。结论开胸手术患者实施全程心理疏导联合术后镇痛的综合性措施,可降低麻醉苏醒期躁动的发生率,提高患者的安全度与舒适度。

Objective To investigate the effects of mental intervention combined with postoperative analgesia on restlessness during anesthesia recovery period in patients undergoing thoracotomy in general anesthesia.MethodsOne hundred and sixty patients undergoing thoracotomy in general anesthesia were randomly divided into 4 groups:routine interview(group A),mental intervention(group B),postoperative analgesia(group C) and mental intervention combined with postoperative analgesia(group D),40 in each.Mean arterial blo...