黛力新辅助心理疏导改善全麻术后苏醒期躁动的观察

Deanxit with mental intervention reduces restlessness during recovery after general anesthesia

目的:通过护士对气管内全麻下行骨科手术的患者术前口服黛力新辅助心理疏导,观察该干预对患者全麻术后苏醒期的影响。方法:选择择期行骨科手术的患者80例,将患者按随机设计原则分为A、B两组,其中A组为抗焦虑抑郁药物辅助心理疏导组,B组行一般术前访视,术前术后不谈论与手术麻醉相关问题。记录比较两组患者术后麻醉苏醒期躁动的情况。结果:A、B两组间在插管时、气腹后5min、拔管时、拔管后5min的心率、平均压动脉压、SPO2比较均有差异(P<0.05)。A、B、C三组间拔管时和拔管后5 min的躁动评分、镇静评分、恶心发生率、呕吐发生率、呛咳发生率比较均有差异(P<0.05)。结论:黛力新辅助心理疏导较一般术前访视更能减轻患者苏醒期躁动,从而帮助患者安全、舒适度过麻醉恢复期。

Objective To explore the effect Deanxit with mental intervention reduces restlessness during recovery after general anesthesia.Methods The randomized,double blind study was conducted in 80 patients who received general anesthesia.All patients were divided into two groups: before operation,groupA(n=40) received Deanxit and mental intervention,groupB(n=40)received only mental intervention.The level of restlessness,sedation and comfort were evaluated,SPO2 、HR and MAP were moritored at the same time.Results Between A and B groups,there were statistical differences in the HR 、SPO2 and MAP(P<0.05) during tracheal intubation,immediately after tracheal extubation,5min afer tracheal extubation.There were statistical differences in the Restlessness scores 、 Sedation scores,and the incidence of nausea,vomiting,bucking immediately after tracheal extubation,5min afer tracheal extubation.Conclusions Deanxit with mental intervention Can reduce restlessness during recovery after general anesthesia.