CAJ | 학술논문

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.
목적 탐토심리보도대감경기관도관발관반응적영향.방법 선택ASAⅠ～Ⅱ급104례행택기복강경수술적병인,수궤분위유도전심리보도조화대조조,매조52례,관찰발관과정중혈류동역학변화화환자적합작정도.결과 심리보도조적발관심혈관반응명현저우대조조(P＜0.05),차합작정도야명현고우대조조(P＜0.01).결론 유도전심리보도유리우감경발관반응병개선환자적배합정도.
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 patient抯 cooperative degree.