重庆医学2018，Vol.47Issue(10)：1329-1331,1335,4.DOI:10.3969/j.issn.1671-8348.2018.10.009
视听分散术联合阿托品预防吻合器痔环形切除术中血管迷走神经反射
Clinical research on audiovisual dispersion combined with atropine for preventing blood vessel vagus reflex in patients with PPH
摘要
Abstract
Objective To research the clinical effect of audiovisual dispersion combined with atropine for preventing blood vessel vagus reflex (VVR) in the patients with procedure for prolapse and hemorrhoids (PPH).Methods One hundred and twenty six patients undergoing PPH in this hospital from January 2015 to January 2017 were numbered according to the order of admission and then divided into 2 groups according to parity number.The two groups were intraoperative given atropine to prevent VVR,the observation group additionally conducted the audiovisual dispersion intervention.The prevention effects were compared between the two groups.Results There was 1 case (1.59％) of VVR in the observation group,which was lower than 7 cases (11.11％) in the control group,and the difference was statistically significant (P＜0.05).The mean arterial pressure (MAP),heart rate (HR) level and anxiety score had no statistically significant difference between the two groups before entering the operating room (T1)(P＞0.05).The levels of MAP and HR at the time PPH was fired in the control group were decreased compared with those at T1 (P＜0.05),the decrease was more obvious compared with the observation group (P＜0.05);the score of anxiety in the observation group was decreased compared with that at T1 (P＜0.05),and was lower than that of control group (P＜ 0.05).The MAP,HR level and anxiety score at 30 min after surgery had no statistical difference between the two groups (P＞0.05).Conclusion Implementing the audiovisual dispersion intervention is beneficial to the intraoperative emotional stability in the patients with PPH and reduces the occurrence of VVR.关键词
视听分散/阿托品/吻合器痔环切术/血管迷走神经反射Key words
audiovisual dispersion/atropine/procedure for prolapse and hemorrhoids/vessel vagus reflex分类
医药卫生引用本文复制引用
刘晓丽,赵红莲,贾国璞,刘家红,黄振菊,朱金玲,刘晓伟..视听分散术联合阿托品预防吻合器痔环形切除术中血管迷走神经反射[J].重庆医学,2018,47(10):1329-1331,1335,4.基金项目
承德市科技局科研支撑项目(20151052) （20151052）
