放松疗法在内镜逆行胰胆管造影术中的应用

Application of perioperative relaxation therapy in patients undergoing endoscopic retrograde cholangiopancreatography

目的探讨实施放松疗法对内镜逆行胰胆管造影术(ERCP)患者围手术期心率和血压的影响。方法选择2008年1月—2011年1月在同济大学附属第十人民医院实施ERCP术前出现焦虑、抑郁的患者46例,于手术前3 h,术后3 h、24 h及48 h实施放松疗法,并在放松前后测量记录患者心率、收缩压和舒张压。结果术前3 h、手术后3 h和24 h患者在放松前后心率、血压收缩压和舒张压比较差异有统计学意义(P<0.05);术后48 h患者在放松前后心率、收缩压及舒张压比较差异无统计学意义(P>0.05)。结论通过对ERCP患者实施放松疗法,能稳定患者的心率和血压,帮助患者安全度过围手术期。

Objective To observe the influence of perioperative relaxation therapy on heart rate and blood pres- sure in patients undergoing endoscopic retrograde eholangiopancreatography （ERCP）. Methods A total of 46 patients with preoperative anxiety and depression before ERCP in our hospital from January 2008 to January 2011 were selected. They received relaxation therapy at 3 h preoperation, and at 3 h, 24 h and 48 h postopera- tion. The patients＇ heart rate and blood pressure were monitored and analyzed before and after relaxation thera- py. Results There were significant differences in the patients＇ heart rate and blood pressure before and after relaxation therapy at 3 h preoperation, and at 3 h and 24 h postoperation （P 〈 0.05）. However, the patients＇ heart rate and blood pressure had no significant differences before and after relaxation therapy at 48 h postopera- tion （P 〉 0.05 ）. Conclusion Active relaxation therapy can maintain hearl rate and blood pressure in patients undergoing ERCP, and ensure the perioperative safety.