| 心理干预联合氟比洛芬酯对七氟醚全麻腹腔镜手术苏醒期的影响 |
| 投稿时间：2010-11-07 修订日期：2011-03-26 点此下载全文 |
| 引用本文：俞正伟,习建华.心理干预联合氟比洛芬酯对七氟醚全麻腹腔镜手术苏醒期的影响[J].医学研究杂志,2011,40(5):119-121 |
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| 中文摘要:目的探讨心理干预联合氟比洛芬酯对七氟醚全麻下腹腔镜手术苏醒期的影响。方法120例七氟醚全麻腹腔镜子宫切除术患者分为三组：对照组（Ⅰ组）；氟比洛芬酯组（Ⅱ组）；心理干预联合氟比洛芬酯组（Ⅲ组）。三组患者诱导方法、术中维持相同，都采用七氟醚+异丙酚+瑞芬太尼维持麻醉。Ⅱ组术前10min静脉注射2mg/kg氟比洛芬酯，Ⅲ组术前心理干预联合手术开始前10min静脉注射2mg/kg氟比洛芬酯。对比观察三组患者拔管前、拔管后即刻和拔管后5min时躁动发生率及其强度、心率，平均动脉压、Ramsay镇静评分及不良反应。结果Ⅲ组患者各时段的躁动发生率及其强度明显低于前两组，血流动力学更平稳，镇静评分更好，恶心呕吐等不良反应的发生率少。结论心理干预联合氟比洛芬酯能很好维持苏醒期循环呼吸稳定，减轻疼痛，减少不良反应，是七氟醚全麻腹腔镜手术可靠易行的方法。 |
| 中文关键词:心理干预 氟比洛芬酯 苏醒期 腹腔镜手术 七氟醚 |
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| The Effect of Psychological Intervention Combined Flurbiprofen Axetil on Awake Period after Laparoscopic Surgery under Sevoflurane Anesthesia |
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| Abstract:ObjectiveTo explore the effect of psychological intervention combined Flurbiprofen axetil on awake period after Laparoscopic surgery under sevoflurane anesthesia. Methods120 patients undergoing hysterectomy under sevoflurane anesthesia were randomly divided into three groups(n=40 each): control group(Ⅰgroup), flurbiprofen axetil group(Ⅱgroup) and psychological intervention combined Flurbiprofen axetil group(Ⅲ group). Anesthesia was maintained with sevoflurane, propofol and remifentanil on all of patients in three groups. The patients in Ⅱgroup were injected by flurbiprofen axetil(2mg/kg) 10 minutes before the operation. In Ⅲ group, flurbiprofen axetil(2mg/kg) was administrated 10 minutes before the operation and conbined psychological intervention. The incidence and intensity of restlessness, heart rate, mean arterial pressure, score of sedation(Ramsay method) and adverse effects were monitored before extubation, 0 and 5 minutes after extubation in three groups. ResultsThe incidence and intensity of restlessness was lower in Ⅲ group than that in Ⅰand Ⅱgroup in the points of each time. Hemodynamics was more stable, score of sedation was better and the incidence of adverse effects such as Nausea and vomiting was less. ConclusionPsychological intervention combined Flurbiprofen axetil was easy and reliable methods in Laparoscopic surgery under sevoflurane anesthesia by maintaining the stability of respiratory cycle, reducing pain and diminishing the adverse effects. |
| keywords:Psychological intervention Flurbiprofen axetil Awake period Laparoscopic surgery Sevoflurane |
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