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作 者:刘晓丽[1] 赵红莲[1] 贾国璞[1] 刘家红 黄振菊 朱金玲 刘晓伟[1] LIU Xiaoli;ZHAO Honglian;JIA Guopu;LIU Jiahong;HUANG Zhenju;ZHU Jinling;LIU Xiaowei(Operation Room,Affiliated Hospital of Chengde Medical College,Chengde,Hebei 067000,China)
机构地区:[1]承德医学院附属医院手术室,河北承德067000
出 处:《重庆医学》2018年第10期1329-1331,1335,共4页Chongqing medicine
基 金:承德市科技局科研支撑项目(20151052)
摘 要:目的研究视听分散术联合阿托品预防吻合器痔环形切除术(PPH)血管迷走神经反射(VVR)的临床作用。方法将2015年1月至2017年1月在该院进行PPH的126例患者根据入院顺序进行编号,按奇偶数分为两组,两组术中均给予阿托品预防术中VVR,观察组另用视听分散术进行干预。对比两组对术中VVR的预防作用。结果观察组1例(1.59%)发生VVR,低于对照组7例(11.11%),比较差异有统计学意义(P<0.05)。进手术室前两组平均动脉压(MAP)、心率(HR)水平及焦虑分值比较差异无统计学意义(P>0.05)。PPH击发时对照组MAP、HR水平较进手术室前下降(P<0.05),比观察组降低得更明显(P<0.05);观察组焦虑分值较进手术室前下降(P<0.05),低于对照组(P<0.05)。术后30min两组MAP、HR水平及焦虑分值组间比较均差异无统计学意义(P>0.05)。结论实施视听分散干预有利于PPH患者术中情绪稳定,减少VVR的发生。Objective To research the clinical effect of audiovisual dispersion combined with atropine for preventing blood vessel vagus reflex(VVR)in the patients with procedure for prolapse and hemorrhoids(PPH).Methods One hundred and twenty six patients undergoing PPH in this hospital from January 2015 to January 2017 were numbered according to the order of admission and then divided into 2 groups according to parity number.The two groups were intraoperative given atropine to prevent VVR,the observation group additionally conducted the audiovisual dispersion intervention.The prevention effects were compared between the two groups.Results There was 1 case(1.59%)of VVR in the observation group,which was lower than 7 cases(11.11%)in the control group,and the difference was statistically significant(P<0.05).The mean arterial pressure(MAP),heart rate(HR)level and anxiety score had no statistically significant difference between the two groups before entering the operating room(T 1)(P>0.05).The levels of MAP and HR at the time PPH was fired in the control group were decreased compared with those at T 1(P<0.05),the decrease was more obvious compared with the observation group(P<0.05);the score of anxiety in the observation group was decreased compared with that at T 1(P<0.05),and was lower than that of control group(P<0.05).The MAP,HR level and anxiety score at 30 min after surgery had no statistical difference between the two groups(P>0.05).Conclusion Implementing the audiovisual dispersion intervention is beneficial to the intraoperative emotional stability in the patients with PPH and reduces the occurrence of VVR.
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