中医按摩对髋关节全麻手术患者苏醒躁动期的血流动力学影响

The Chinese Medicine Massage for Hip Surgery in Patients with General Anesthesia Agitation Period the Hemodynamic Effects of Awakening

目的探讨中医按摩对髋关节全麻手术患者苏醒躁动期的血流动力学影响。方法将2014年6月至2015年5月行髋关节置换术的84例全麻患者随机分为观察组与对照组,对照组患者术后实施监控,观察组在对照组基础上采用中医按摩处理,比较进入麻醉复苏室未进行处理前(t0),中医按摩干预实施第5 min(t1)、中医按摩干预实施第10 min(t2)、中医按摩干预实施后(t3)、中医按摩干预实施10 min后(t4)、中医按摩干预实施30 min后(t5)、拔管前(t6)、拔管5 min(t7)、拔管10min后(t8)的收缩压(SBP)、舒张压(DBP)、心率(HR)、呼吸频率(RR)及血氧饱和度(spo2)的变化情况。结果观察组在t0、t1、t2、t3、t4、t5、t6、t7、t8的SBP、DBP、HR及RR均显著低于对照组同期水平,P<0.05;观察组在t0、t1、t2、t3、t4、t5、t6、t7、t8的SpO_2均显著高于对照组同期水平,P<0.05。结论中医按摩可有效保持髋关节全麻手术患者苏醒期躁动的血流动力学稳定,值得推广应用。

Objective To explore Chinese medicine massage to general anesthesia in patients with hip surgery the hemody- namic effects of agitation period.Methods In June 2014 to May 2015 hip replacement of 84 patients with general anesthesia were randomly divided into observation group and control group,the control group patients postoperative monitor,observation group in the control group on the basis of traditional chinese medicine massage treatment, compare the enter the anesthesia recovery room not processed（t0）,the Chinese medicine massage intervened5 min（tl ）,the Chinese medicine massage intervened 10 rain（t2）, the Chi- nese medicine massage intervention after implementation （t3）,the Chinese medicine massage intervention implementation after 10 min （t4）, the Chinese medicine massage intervention implementation after 30 min （t5）, before extubafion （t6）, extubation after 5 rain （ t7 ）, extubation after 10 rain （ t8 ）, systolic blood pressure （SBP） of each time period diastolic blood pressure （DBP）, heart rate （ HR ）, respiratory frequency（RR）and the change of blood oxygen saturation（spo2）.Results Observation group in the t0,tl,t2,t3,t4,tS, t6,t7,t8 SBP, DBP, HR and RR were significantly lower than the control group,P〈0.05 ; Observation group in the t0,tl,t2,t3,t4, tS,t6,t7 has,t8 SpO2 levels were significantly higher than control group in the same period,P〈0.05.Conclusion The Chinese medicine massage can effectively keep the hip surgery in patients with general anesthesia awakening period restless hemodynamic stability, is worthy of popularization and application.