1、南方医科大学成人教育本科生毕业论文 1 南方医科大学成人高等教育毕业论文 题目 ： 音乐疗法在全麻 胸腔镜手术患者苏醒期 的应用研究 专 业：护理学 年 级： 2010 级专升本 学 号： 南方医科大学成人教育本科生毕业论文 2 摘要 目的 探讨音乐疗法对 全麻 胸腔镜 手术患者 苏醒期 的影响。 方法 将 160 例择期胸腔 镜手术患者，随机分为对照组和实验组各 80 例。对照组术前 1 天接受常规麻醉医生访视和手术室护士心理护理，实验组则增设音乐疗法。观察两组患者围拔管期心率、血压的变化及发生躁动的情况。记录两组拔管的时间及并发症发生情况。 结果 两组患者均按预期顺利完成手术 ，术后苏醒并
2、顺利拔管 。实验 组拔管 期躁动的发生率明显 低 于 对照 组 (PO 05)； 实验组在 拔管 期心率、血压与对照组比较更为平稳（ P0.05）； 两组拔管时间比较无显著性；两组患者均无重大并发症发生。 结论 实施 音乐疗法 护理干预较 常规心理护理 更能减轻患者苏醒 期 应激不良反应 ， 有利于 患者安全、 减轻痛苦、 舒适 渡过 麻醉恢复期 ，提高患者全麻苏醒护理质量。 【 关键词 】 音乐疗法； 胸腔 镜手术；全麻； 苏醒 期；应用研究 Abstract Objective To investigate the purpose of therapy for gynecological
3、laparoscopic surgery, anesthesia Wai extubation. Methods 120 patients undergoing elective gynecological laparoscopic surgery were randomly divided into control and experimental groups of 60 cases. The control group before surgery one day receive general anesthesia doctor visits and operating room nu
4、rses psychological care, the experimental group and the addition of music therapy. The tracheal extubation period, heart rate, blood pressure changes were observed and occurred restless. Record two sets of extubation time and occurrence of complications. Results Two groups of patients according to t
5、he expected successful completion of the surgery, postoperative recovery and was extubated. The experimental group extubation restlessness incidence was significantly lower than the control group (P O.05)； the experimental group extubation heart rate, blood pressure, compared with control group is m
6、ore stable (P 0.05)； two groups time to extubation no significant； two groups of patients had no major complications. Conclusions Music therapy nursing intervention than conventional psychological care and also reduce extubation restlessness, stress adverse conducive to patient safety, reduce pain, comfortable ride anesthasia, improve the quality of care patients after general anesthesia. 【 Key words】 Music Therapy； Laparoscopic surgery； Anesthesia； Extubation；Applied Research
