术前心理干预联合舒芬太尼对鼻咽手术患者麻醉复苏期躁动的影响  

Effect of preoperative psychological intervention combined with administration of Sufentanil on dysphoria of patients with nasopharyngeal operation in the recovery period of anesthesia

作　　者：廖碧珊[1] 陆立仁[1] 郑映金[1] 赵丽珍[1] 

机构地区：[1]南方医科大学附属南海医院,广东南海528200

出　　处：《齐鲁护理杂志（中旬刊）》2012年第11期15-17,共3页Journal of Qilu Nursing

摘　　要：目的:探讨术前心理干预联合术中追加舒芬太尼对鼻咽手术患者麻醉复苏期躁动的影响。方法:将80例患者随机分为术前常规护理及麻醉组(C组)、术中追加舒芬太尼组(S组)、术前心理干预组(P组)、术前心理干预联合术中追加舒芬太尼组(PS组)各20例。观察和比较4组患者镇痛效果、躁动程度、苏醒时间。结果:在镇痛效果方面,PS组与S组比较差异无统计学意义,优于其他各组(P<0.05,P<0.01)。在躁动程度方面,PS组、S组、P组各组间比较差异无统计学意义,但均明显低于C组(P<0.05,P<0.01)。在苏醒时间方面,S组出现睁眼反应的时间和拔除气管导管的时间明显比其他各组延迟(P<0.05),C组拔管时间较P组明显延长(P<0.05)。结论:术前心理干预联合术中追加舒芬太尼能有效预防鼻咽手术患者麻醉复苏期躁动的发生,减轻其疼痛程度,提高复苏质量和安全性。Objective：To discuss the effect of preoperative psychological intervention combined with intraoperative administration of Sufentanil on dysphoria of patients with nasopharyngeal operation in the recovery period of anesthesia. Methods ：80 patients were randomly divided into the routine preoperative care and anesthesia group （ group C ）, intraoperative administration of Sufentanil group （ group S ）, preoperative psychological intervention group （ group P） and preoperative psychological intervention combined with intraoperative administration of Sufentanil group （ group PS） ,20 patients were in each group. The analgesic effect,degree of restlessness of the patients and recovery time were observed and compared among the four groups. Results：The difference in the comparison of the analgesic effect was not statistically significant between group PS and group S, but it was better than the other groups （ P 〈 0. 05, P 〈 0.01 ） ; the comparison of degree of restlessness of the patients was not significantly different among group PS, group S and group P, but the degree in each group was significantly lower than group C （ P 〈 0. 05, P 〈 0.01 ） ; the reaction time of opening eyes and extubation time obviously delayed in the group, compared with that in the other groups （ P 〈 0.05 ） ; the extubation time delayed in the group C compared with that in the group P （ P 〈 0.05 ）. Conclusion： The preoperative psychological intervention combined with administration of Sufentanil can effectively prevent the occurrence of restlessness of patients with nasopharyngeal operation in the recovery period of anesthesia. It can also relieve the level of pain and improve the quality and safety of resuscitation.

关 键 词：鼻咽手术 复苏期 躁动 心理干预 舒芬太尼 

分 类 号：R473.76[医药卫生—护理学]