心理干预联合氟比洛芬酯对七氟醚全麻腹腔镜手术苏醒期的影响

Effect of psychological intervention combined with flurbiprofen axetil on the recovery period of laparoscopic surgery for sevoflurane anesthesia

目的研究分析心理干预联合氟比洛芬酯对七氟醚全麻腹腔镜手术苏醒期的影响。方法选取建德市第一人民医院2015年1月~2016年12月收治的100例进行全麻腹腔镜手术患者为本次研究过程中的研究对象,随机分为对照组和实验组各为50例。对照组患者与实验组患者的诱导方法与术中维持方法均相同,利用异丙酚和七氟醚,瑞芬太尼维持麻醉。实验组患者手术前静脉注射2 mg/kg氟比洛芬酯,进行心理干预护理,关注患者的心理状态,加强与患者的沟通,消除患者内心的负面情绪,缓解患者心理压力,提高治疗依从性。比较分析实验组与对照组患者手术苏醒期情况。结果对照组患者拔管前发生躁动概率为32.0%,拔管后即刻发生躁动概率为22.0%,拔管后5 min躁动发生概率为6.0%。可得,实验组患者在不同时段发生躁动概率显著低于对照组患者,差异具有统计学意义（P〈0.05）。实验组与对照组相比,血流动力学更为稳定,发生恶心等不良反应的概率较低,差异具有统计学意义（P〈0.05）。结论心理干预联合氟比洛芬酯能够在一定程度上降低七氟醚全麻腹腔镜手术苏醒期发生躁动,稳定血流动力学,降低不良反应发生率,具有临床进一步推广和应用的意义。

Objective The purpose of this study was to investigate the effect of psychological intervention and flurbiprofen axetil on the recovery period of laparoscopic surgery for sevoflurane anesthesia. Methods 100 cases of laparoscopic surgery in the First People＇s Hospital of Jiande City from January 2015 to December 2016 were selected. They were randomly divided into the control group and the experimental group,each with 50 cases. The induction methods of the control group and the experimental group were the same as those during the operation,and propofol and sevoflurane and remifentanil were used to maintain anesthesia. The experimental group patients before intravenous injection of 2 mg/kg flurbiprofen,psychological intervention nursing,pay attention to the psychological status of patients,strengthen the communication with patients,patients with heart to eliminate negative emotions,relieve the psychological pressure of patients. Results The incidence of restlessness before extubation was 32% in the control group,and the rate of restlessness immediately after extubation was 22%. The occurrence rate of restlessness was 56% at 5 minutes after extubation. In the experimental group,the incidence of agitation at different times was significantly lower than that in the control group,with statistical difference（ P 〈0. 05）. Compared with the control group,the hemodynamics of the experimental group was more stable,and the incidence of nausea and other adverse reactions was lower,with statistical difference（ P〈 0. 05）. Conclusion Laparoscopic surgery under sevoflurane anesthesia can reduce the incidence of restlessness in recovery period of a certain degree of psychological intervention combined with flurbiprofen,stable hemodynamics,reduce the incidence of adverse reactions.