%0 Journal Article
%T 音乐联合催眠疗法对胸外科患者术后躁动等的影响
%A 张明明　张明　张楠楠　阎玮　孙惠惠　梁永新
%J -
%D 2020
%R 10.13362/j.jpmed.202001021
%X 摘要 目的　探讨音乐联合催眠疗法对胸腔镜下肺叶切除术患者术后躁动等的影响。 方法　选取2018年11月—2019年4月在我院住院拟行胸腔镜下肺叶切除术的患者80例,ASAⅠ～Ⅱ级，随机分为试验组和对照组，对照组患者围术期给予常规治疗措施，试验组患者在对照组常规治疗的基础上给予音乐联合催眠疗法。观察两组患者术后躁动的发生率、拔管时间、拔管后恢复室停留时间、术后2 h静息视觉模拟疼痛评分(VAS)、术后第2天舒适度评分、患者满意度以及麻醉诱导前、麻醉诱导后、气管插管时、手术结束时、拔管时、拔管后5 min时的心率（HR）。 结果　试验组患者术后躁动的发生率明显低于对照组(χ2=4.507,P＜0.05)；术后2 h静息VAS低于对照组(t=9.686,P＜0.05)；拔管后恢复室停留时间短于对照组(t=2.372,P＜0.05)；术后第2天舒适度评分高于对照组(t=－2.754,P＜0.05)；而两组患者满意度和各时点心率比较，差异无显著性(P＞0.05)。 结论　胸腔镜下肺叶切除术患者围术期实施音乐联合催眠疗法能够降低术后躁动和疼痛的发生，缩短拔管后恢复室停留时间，增加围术期舒适度。<br>Abstract：Objective　To investigate the efficacy of music combined with hypnotherapy for postoperative agitation in patients with thoracoscopic lobectomy. Methods　We selected 80 patients (American Society of Anesthesiologists physical status Ⅰ-Ⅱ) who planned to undergo thoracoscopic lobectomy in our hospital from November 2018 to April 2019, and randomly divided them into experimental group and control group. The control group received routine treatment during the perioperative period, and the experimental group received music combined with hypnotherapy in addition to the treatment for the control group. We recorded, for both groups, the incidence of postoperative agitation, time to extubation, recovery room time after extubation, Visual Analogue Scale (VAS) score at rest 2 h after surgery, comfort score on day 2 after operation, patient’s satisfaction degree, and the heart rates before anesthesia induction, after anesthesia induction, at the time of intubation, at the end of operation, at the time of extubation, and 5 min after extubation. Results　Compared with the control group, the experimental group had a significantly lower incidence of postoperative agitation (χ2=4.507,P<0.05), a significantly lower VAS score at rest 2 h after surgery (t=9.686,P<0.05), a significantly shorter recovery room time after extubation (t=2.372,P<0.05), and a significantly higher comfort score on day 2 after operation (t=-2.754,P<0.05). There were no significant differences in patient’s satisfaction degree and heart rate at each time point between the two groups (P>0.05). Conclusion　Music combined with hypnotherapy can relieve postoperative agitation and pain, shorten recovery room time after extubation, and improve perioperative comfort for perioperative patients undergoing thoracoscopic lobectomy
%K 音乐疗法
%K 催眠术
%K 肺切除术
%K 苏醒谵妄
%K 治疗结果<br>Music therapy
%K Hypnosis
%K Pneumonectomy
%K Emergence delirium
%K Treatment outcome
%U http://jpmed.qdu.edu.cn/CN/10.13362/j.jpmed.202001021