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目的观察心理指导对全身麻醉后苏醒期躁动的预防作用。方法选择50例行腹部手术的成人患者,随机分为2组:心理指导组30例,术前给予充分地解释,使患者完全清楚气管插管所引起的不适感;对照组20例,术前不给予任何解释。术中用安氟醚吸入复合麻醉,术毕充分排出吸入麻醉剂,使患者自然苏醒,清醒后拔出气管导管。记录拔管前后患者的血压、心率以及有无明显躁动。结果心理指导组患者在拔管前后3 min心率、血压无明显变化,躁动发生率为23%(7/30);对照组患者在拔管前后3 min心率、血压有明显升高(P<0.01),躁动发生率为65%(13/20)。结论术前心理指导对预防全身麻醉术后的躁动有明显的作用。
Objective To observe the preventive effect of psychological guidance on agitation in the recovery period after general anesthesia. Methods Fifty adult adult patients undergoing abdominal surgery were randomly divided into 2 groups: 30 patients in psychological group, who were adequately explained before operation, so that patients were fully aware of the discomfort caused by tracheal intubation; 20 patients in control group Do not give any explanation. Intraoperative enflurane inhalation combined anesthesia, surgical full discharge inhalation anesthesia, so that patients naturally wake up, awake and pull out the tracheal tube. Record before and after extubation of patients with blood pressure, heart rate and whether there is significant agitation. Results There was no significant change in heart rate and blood pressure 3 minutes before and after extubation, and the incidence of agitation was 23% (7/30) in the psychological group. The heart rate and blood pressure in the control group were significantly increased 3 min before and after extubation (P <0.01) ), Agitation was 65% (13/20). Conclusion Preoperative psychological guidance to prevent agitation after general anesthesia have a significant role.