听觉刺激对全身麻醉患者复苏质量影响的研究

目的探讨听觉刺激对全身麻醉患者复苏质量的影响。方法选择2009年2月～2010年4月择期行腹部手术的全身麻醉患者110例,随机分为实验组和对照组,每组各55例。实验组采用由音乐和语音产生的听觉刺激,对全身麻醉复苏期患者进行干预。对照组采用常规的基础护理和术前心理疏导。患者进入PACU后,应用Aldrete评分标准,每隔30 min对患者评估1次,直至Aldrete评分达到9分。结果两组患者进入PACU即刻的Aldrete评分分别为(6.1±0.4)和(5.9±0.3),组间差异有统计学意义(t=1.854,P=0.035)。入PACU 30 min、60min、90 min各时间点,听觉刺激组全身麻醉后Aldrete评分高于同期对照组,分别达到(7.8±0.7)、(8.7±0.9)和(9.3±1.0),组间差异有统计学意义(t=2.649、2.060、2.596,P=0.005、0.022、0.006)。听觉刺激组患者在PACU的停留时间为(101.2±13.4)min,短于对照组的(112.1±14.7)min,组间差异有统计学意义(t=3.016,P=0.002)。结论听觉刺激可缩短全麻患者在PACU的停留时间,提高全身麻醉患者的复苏质量。

Study of the effects on recovery quality by auditory stimulation for patients with general anesthesia

Objective To explore the effect of auditory stimulation on recovery quality for patients with general anesthesia. Method 110 cases of patients receiving abdominal surgery under general anesthesia were eligible participants from February 2009 to April 2010. They were randomly divided into experimental group and control group, 55 cases in each group. Experimental group adopted auditory stimulation by music and voice to intervene patients with general anesthesia during recovery period. Control group adopted routine care and preoperative psychological counseling coming into the PACU. Patients were assessed with Aldrete score criteria every 30 minutes, up to 9 points of the Aldrete score. Result The moment coming into PACU, the Aldrete score of the two groups were 6.1±0.3 and 5.9 ± 0.3 respectively, and the differences were statistically significant （t=1. 854, P= 0. 035）. The time of 30rain, 60rain, 90min when coming into PACU, the Aldrete score of experimental groups was higher than that of the control group, they were 7.8±0.7,8.7±0.9 and 9.3 ± 10 respectively, the differences were statistically significant （t=2. 649, 2. 060, 2. 596,P=0. 005, 0. 022, 0. 006）. The time that the patients of experimental group stay in PACU was 101.2±13.4min, shorter than the control group （112.1±14.7min）, the differences were statistically significant （t=3. 016, F= 0. 002）. Conclusion Auditory stimulation can shorten the residence time that patients with general anesthesia stay in the PACU in order to improve the recovery quality.