麻醉前认知干预对降低颅内肿瘤术后全麻躁动发生率的作用

发布时间：2018-01-19 21:45

本文关键词： 麻醉前认知干预颅内肿瘤全麻躁动应激反应　出处：《实用临床医药杂志》2016年18期 　论文类型：期刊论文

【摘要】：目的探讨麻醉前认知干预对降低颅内肿瘤患者术后全麻躁动发生率的作用。方法将80例行颅内肿瘤全麻手术患者随机分为观察组及对照组各40例,对照组采用常规性护理,观察组在对照组基础上行麻醉前认知干预,记录2组患者入室时(T0)、手术即刻(T_1)、手术切皮后30 min(T_2)、拔除气管导管时(T_3)的心率(HR)、收缩压(SBP)、舒张压(DBP)、脉搏血氧饱和度(SpO_2)、血浆血糖、肾上腺素及皮质醇的浓度及术后麻醉苏醒躁动、恶性呕吐发生情况与镇痛药物使用情况。结果 2组患者在T_0~T_3时段的HR、SpO_2差异有统计学意义(P0.05),2组患者在T_0~T_3时段的血浆血糖、肾上腺素及皮质醇浓度差异有统计学意义(P0.05)。观察组躁动评分显著低于对照组(P0.05),术后镇痛药物使用率显著低于对照组(P0.05),恶心呕吐及麻醉躁动发生率显著低于对照组(P0.05)。结论麻醉前认知干预能有效减轻颅内肿瘤患者围术期应激反应,降低患者全麻躁动发生率。
[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.
【作者单位】：上海交通大学医学院附属新华医院麻醉科;
【分类号】：R614;R739.41
【正文快照】： 颅内肿瘤是神经外科常见疾病,手术是目前治疗颅内肿瘤的有效可行的方法。但手术是创伤性治疗,其在解除患者疼痛感的同时也会给患者心理及躯体带来较大刺激,而不良刺激会影响患者麻醉效果,不利于患者身心健康[1]。研究[2]表明,麻醉前对患者进行访视,细心了解患者精神状况,向患

【相似文献】