全程心理疏导预防全麻术后导尿管刺激躁动的临床观察

目的:评价全程心理疏导预防全身麻醉术后导尿管刺激躁动的临床效果。方法:全麻下实施胆囊切除手术的80例男性患者为观察对象,随机均分为全程心理疏导组(Ⅰ组)和对照组(Ⅱ组),每组40例。Ⅰ组:术前、麻醉诱导前、苏醒后均对患者施行个体化心理疏导,根据患者具体情况进行沟通,解除其焦虑与恐惧心理。Ⅱ组:常规访视,不进行全程心理疏导。飞利浦多功能监测仪连续监测ECG、HR、SpO2及每3分钟监测一次BP,记录入室后MAP、HR的基础值(T0)、术毕(T1)、拔管后3 min(T2)、10 min(T3)、20min(T4)的血流动力学变化,观察记录拔管后患者因尿管刺激引发躁动评分。结果:Ⅰ组患者苏醒期对尿管刺激反应程度明显低于Ⅱ组,患者在苏醒期血压、心率也较稳定。结论:全程心理疏导可以预防、减轻全麻术后因导尿管刺激而引发的躁动。

Clinical Observation of the Full Psychological Counseling to Prevent Catheter Stimulation After General Anesthesia

Objective: Evaluation of psychological counseling throughout the operation to prevent stimulation of the catheter after general anesthesia.Methods:To select 80 male patients of Cholecystectomy under general anesthesia surgery,and were randomly divided into full psychological counseling group(Ⅰgroup) and control group(Ⅱ group).There are 40 cases in every group.In Ⅰ group: preoperative,before induction of anesthesia,the patient regained consciousness after implementation of all individual psychological counseling according to the specific situation of patients,and lift the anxiety and fear.In ⅡGroup: General visit and not to the whole psychological counseling.Continuous monitoring of ECG,HR,SpO2,and BP monitoring every 3 minutes.To record burglary MAP,HR at baseline(T0),end of operation(T1),after extubation 3 min(T2),10 min(T3),20min(T4) the hemodynamic changes.To observe scores of agitation caused by catheter stimulation after extubation.Results: In group Ⅰthe degree of stimulation was significantly lower than in group Ⅱ.In the recovery blood pressure,heart rate Were more stable in group Ⅱ.Conclusion: Full psychological counseling can prevent and reduce stimulation of catheter-induced agitation after general anesthesia.