文档介绍：术前心理干预在全身麻醉中应用的研究
邢学宁
[摘要] 目的探讨术前心理干预在减轻全身麻醉患者围术期应激反应的效用。方法选取120例全麻下择期经腹腔镜胆囊切除的患者,随机分为对照组(n=60)和干预组(n=60);对照组行常规术前访视,干预组实施心理干预,观察患者术前一天焦虑自评量表(SAS)、焦虑状态询问表(SA-I)评分、血压(BP)及心率(HR);入手术室的血压(BP)及心率(HR);术后第一天焦虑状态询问表(SA-I)评分、血压(BP)及心率(HR);术后一周焦虑自评量表(SAS)、焦虑状态询问表(SA-I)评分、血压(BP)及心率(HR)。结果两组术前一天焦虑状态(SA-I)评分无差异,干预组术后第一天焦虑状态(SA-I)评分干预组明显低于对照组(P<);两组患者术前收缩压(SBP)无显著差异,入手术室收缩压(SBP)干预组明显低于对照组(P<)。结论术前实施心理干预可明显减轻患者术后的焦虑状态及应激引起的心血管反应,利于患者平稳度过围术期。
[关键词] 心理干预;全身麻醉;腹腔镜;焦虑;应激
Qualitative study on preoperative psychological intervention on the patients under general anesthesia undergoing selective operation
[Abstract] Objective To explore the effects ofpreoperative psychological intervention on reducing stress reaction of patients under general anesthesia undergoing selective operation.
Method In this study, 120 laparospic patients under general anesthesia undergoing selective operation were investigated and allocated randomly to two groups:the control group(n=60) received preoperative interview routinely,and the intervened group(n=60) received preoperative psychologic intervention. Record data as follows:the scores of SAS and SA-I,Blood Pressure Heart Rate of patients on the day before operating day; Blood pressure and Heart Rate of patients when they went into operating rooms;the scores of SA-I, Blood Pressure and Heart Rate patients on the first day after the operating day; the scor