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全麻诱导前心理辅导对气管拔管时血流动力学的影响

Effect of psychological guidance anterior anesthesia on hemodynamics during tracheal extubation
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摘要 目的探讨心理辅导对减轻气管导管拔管反应的影响。方法选择ASAⅠ~Ⅱ级104例行择期腹腔镜手术的病人,随机分为诱导前心理辅导组和对照组,每组52例,观察拔管过程中血流动力学变化和患者的合作程度。结果心理辅导组的拔管心血管反应明显低于对照组(P〈0.05),且合作程度也明显高于对照组(P〈0.01)。结论诱导前心理辅导有利于减轻拔管反应并改善患者的配合程度。 Objective To investigate the effect of psychological guidance on hemodynamics during tracheal extubation. Methods 104 patients of ASAⅠ-Ⅱ undergoing selective laparoscopic operation were enrolled in this study. The patients were randomly divided into two groups: psychological guidance group and control group with 52 cases each. The patient' s cooperative degree and the changes of hemodynamics during tracheal extubation were recorded and analyzed. Results Compared with control group, the cardiovascular response to extubation was significantly lower (P〈 0.05) and cooperative degree was significantly higher in psychological guidance group (P〈 0. 01). Conclusions The psychological guidance may reduce the extubation reaction and improve patienteli cooperative degree.
出处 《国际医药卫生导报》 2009年第13期58-60,共3页 International Medicine and Health Guidance News
关键词 气管拔管 心理辅导 血流动力学 Tracheal extubation Psychological guidance Hemodynamics
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