本文關(guān)鍵詞： 麻醉前認(rèn)知干預(yù) 顱內(nèi)腫瘤 全麻躁動(dòng) 應(yīng)激反應(yīng)　出處：《實(shí)用臨床醫(yī)藥雜志》2016年18期 　論文類型：期刊論文

【摘要】：目的探討麻醉前認(rèn)知干預(yù)對(duì)降低顱內(nèi)腫瘤患者術(shù)后全麻躁動(dòng)發(fā)生率的作用。方法將80例行顱內(nèi)腫瘤全麻手術(shù)患者隨機(jī)分為觀察組及對(duì)照組各40例,對(duì)照組采用常規(guī)性護(hù)理,觀察組在對(duì)照組基礎(chǔ)上行麻醉前認(rèn)知干預(yù),記錄2組患者入室時(shí)(T0)、手術(shù)即刻(T_1)、手術(shù)切皮后30 min(T_2)、拔除氣管導(dǎo)管時(shí)(T_3)的心率(HR)、收縮壓(SBP)、舒張壓(DBP)、脈搏血氧飽和度(SpO_2)、血漿血糖、腎上腺素及皮質(zhì)醇的濃度及術(shù)后麻醉蘇醒躁動(dòng)、惡性嘔吐發(fā)生情況與鎮(zhèn)痛藥物使用情況。結(jié)果 2組患者在T_0~T_3時(shí)段的HR、SpO_2差異有統(tǒng)計(jì)學(xué)意義(P0.05),2組患者在T_0~T_3時(shí)段的血漿血糖、腎上腺素及皮質(zhì)醇濃度差異有統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組躁動(dòng)評(píng)分顯著低于對(duì)照組(P0.05),術(shù)后鎮(zhèn)痛藥物使用率顯著低于對(duì)照組(P0.05),惡心嘔吐及麻醉躁動(dòng)發(fā)生率顯著低于對(duì)照組(P0.05)。結(jié)論麻醉前認(rèn)知干預(yù)能有效減輕顱內(nèi)腫瘤患者圍術(shù)期應(yīng)激反應(yīng),降低患者全麻躁動(dòng)發(fā)生率。
[Abstract]:Objective to explore the effect of cognitive intervention before anesthesia on reducing the incidence of general anesthesia restlessness in patients with intracranial tumor after operation. Methods 80 patients with intracranial tumor undergoing general anesthesia operation were randomly divided into observation group (n = 40) and control group (n = 40). Routine nursing was used in the control group and cognitive intervention before anesthesia was performed in the observation group on the basis of the control group. 30 minutes after skin incision, the heart rate and HRV, SBP, DBP, SPO, SPO, SPO, and SPO were observed 30 min after skin incision, and 30 min after extubation of the trachea catheter. Plasma blood glucose, adrenaline and cortisol concentrations, restlessness of anaesthesia, occurrence of malignant vomiting and use of analgesic drugs. Results the HR of the two groups were in the period of T _ (0) and T _ (3). The difference of SpO_2 was statistically significant. The difference of epinephrine and cortisol concentration was statistically significant (P 0.05). The restlessness score in the observation group was significantly lower than that in the control group (P 0.05). The postoperative analgesic use rate was significantly lower than that in the control group (P0.05). The incidence of nausea and vomiting and anaesthesia restlessness was significantly lower than that in the control group (P 0.05). Conclusion Cognitive intervention before anesthesia can effectively reduce perioperative stress and general anesthesia restlessness in patients with intracranial tumors.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院附屬新華醫(yī)院麻醉科;
【分類號(hào)】：R614;R739.41
【正文快照】： 顱內(nèi)腫瘤是神經(jīng)外科常見(jiàn)疾病,手術(shù)是目前治療顱內(nèi)腫瘤的有效可行的方法。但手術(shù)是創(chuàng)傷性治療,其在解除患者疼痛感的同時(shí)也會(huì)給患者心理及軀體帶來(lái)較大刺激,而不良刺激會(huì)影響患者麻醉效果,不利于患者身心健康[1]。研究[2]表明,麻醉前對(duì)患者進(jìn)行訪視,細(xì)心了解患者精神狀況,向患

【相似文獻(xiàn)】

相關(guān)期刊論文 前5條

1 吳文軍;;不同濃度七氟醚對(duì)小兒全麻蘇醒期躁動(dòng)發(fā)生率的影響[J];中國(guó)醫(yī)藥科學(xué);2012年22期

2 陳昌林;;右美托咪啶在男性患者術(shù)前導(dǎo)尿中的應(yīng)用[J];現(xiàn)代醫(yī)藥衛(wèi)生;2014年09期

3 徐曉峰;;丙泊酚與七氟醚全身麻醉蘇醒期躁動(dòng)發(fā)生率的臨床觀察[J];中國(guó)實(shí)用醫(yī)藥;2008年22期

4 戴黎敏;;溫度干預(yù)對(duì)經(jīng)皮腎穿刺取石術(shù)患者術(shù)中的影響[J];護(hù)理實(shí)踐與研究;2011年24期

5 ;[J];;年期

相關(guān)碩士學(xué)位論文 前1條

1 金允淑;全憑靜脈與吸入全身麻醉蘇醒期躁動(dòng)發(fā)生率的臨床觀察[D];中國(guó)醫(yī)科大學(xué);2007年

，

本文編號(hào)：1445644