术前补液维持时间对改善肺叶切除接台患者术前焦虑情况的效果分析.docVIP

精品论文 参考文献 术前补液维持时间对改善肺叶切除接台患者术前焦虑情况的效果分析 同济大学附属上海市肺科医院 【摘 要】目的：探讨术前补液维持时间对肺叶切除接台患者术前焦虑情况的影响。方法：将我科2014年1～4 月收治的90 例准备接台手术行肺叶切除术的患者随机分为低速组、中速组和高速组各30 例，比较3组患者术前30 min血糖、术前焦虑程度以及出院后满意率的变化。结果：低速组、中速组和高速组的术前30 min血糖分别为9.8 plusmn; 3.5，9.3 plusmn; 3.7，9.0 plusmn; 3.4 mmol/L，各组间无统计学差异（P低-中 = 0.554，P低-高 = 0.391）；焦虑评分分别为4.9 plusmn;3.0，8.3 plusmn; 4.2，8.3 plusmn; 4.4，低速组与中速组之间及低速组与高速组之间有统计学差异（P低-中 = 0.001，P低-高 = 0.002）；满意度分别为9.1 plusmn;0.9，7.9 plusmn; 1.2，7.9 plusmn; 1.4，低速组与中速组之间及低速组与高速组之间有统计学差异（P低-中lt; 0.001，P低-高lt; 0.001）。结论：术前缓慢静脉滴注有助于缓解肺叶切除接台患者术前的焦虑情绪，提高其出院后的满意率。 【关键词】术前补液维持时间手术接台患者焦虑血糖出院后满意率 Effects of intravenous infusion maintenance time on alleviating preoperative anxiety in patients undergoing lobcetomy in consecutive surgery Huimin Qian Department of Thoracic Surgery，Shanghai Pulmonary Hospital，Tongji University School of Medicine.Shanghai 200433，China Abstract：Objectives：To investigate the effects of intravenous infusion maintenance time on alleviating preoperative anxiety in patients undergoing consecutive lobcetomy.Patients and Methods：To randomly divide 90 patients who were going to accept lobectomy on consecutive surgery from January to April，2014 in our department into three groups ndash; low speed，median speed and high speed groups.There were 30 patients in each group.Blood glucose 30 min before surgery，preoperative anxiety and satisfaction on discharge were compared.Results：Blood glucose 30 min before surgery in the low speed，median speed and high speed groups was 9.8 plusmn;3.5，9.3 plusmn; 3.7，9.0 plusmn; 3.4 mmol/L，（P低-中 = 0.554，P低-高 = 0.391），preoperative anxiety was 4.9 plusmn;3.0，8.3 plusmn; 4.2，8.3 plusmn; 4.4（P低-中 = 0.001，P低-高 = 0.002）and patients satisfaction on discharge was 9.1 plusmn;0.9，7.9 plusmn; 1.2，7.9 plusmn; 1.4（P低-中lt; 0.001，P低-高lt; 0.001），respectively.Conclusion：Preoperative intravenous infusion with a low speed helped alleviate preoperative anxiety in patients undergoing lobectomy in consecutive surgery，and improve patientrsquo;s satis