| 陈敏.患者心理因素对无痛人流手术麻醉的影响.[J].中南医学科学杂志.,2012,40(2):190-192. |
| 患者心理因素对无痛人流手术麻醉的影响 |
| Effects of Psychological Factors on the Anesthesia of Painless Abortion |
| 投稿时间：2011-10-09 |
| DOI： |
| 中文关键词: 心理因素 人工流产 麻醉 |
| 英文关键词:psychological factors abortion anesthesia |
| 基金项目: |
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| 中文摘要: |
| 目的探讨患者的心理因素对无痛人流手术麻醉的影响。方法100例自愿接受无痛人流的早孕妇，根据焦虑自评量表（SAS）评分结果分焦虑组和非焦虑组，监测患者人流术前、中、后BP、HR、SPO2、呼吸及术中术后不良反应，并记录丙泊酚首次用药量和总用量及手术时间和苏醒时间，了解麻醉满意度。结果两组在年龄、体重、有无婚姻史和人流手术史及手术时间方面比较差异均无显著性（P>0.05）。焦虑组术前、术后心率较非焦虑组波动大(P<0.05)，两组术前、术后血压和血氧饱和度及术中生命体征变化差异均无显著性（P>0.05）。与非焦虑组比较，焦虑组患者丙泊酚诱导量及总用量均明显增多（P<0.001），术后苏醒时间明显延长（P<0.001），术中躁动及术后激动发生率明显增多（P<0.001）。术后两组患者对麻醉满意度评价均为良好。结论麻醉医师应重视无痛人流患者术前心理疏导,从而降低患者的应激程度,有利于手术的顺利完成,同时减少麻醉药用量,降低围手术期风险。 |
| 英文摘要: |
| ObjectiveTo investigate the effects of psychological factors on the anesthesia of painless abortion.MethodsAccording to the score of self-rating anxiety scale (SAS),100 women of voluntary early painless abortion were divided into anxiety group (n=50) and non-anxiety group (n=50).The BP,HR,SPO2,respiration in patients were monitored during intraoperative and postoperative events.We recorded the amount of propofol for the first time and the total amount of drug,the surgical time,and the patient recovery time.ResultsThere are not statistically differences between the two groups in age,weight,marital history and the history of abortion.The fluctuation of heart rate in anxiety group during preoperative and postoperative time is more than in non-anxiety group (P<0.05).There are no significant difference between two groups in blood pressure,oxygen saturation,and vital signs.The amount of propofol-induced and total volume in anxiety group is more than in non-anxiety group (P<0.001).The postoperative recovery time in anxiety group is prolonged compared with non-anxiety group (P<0.001).The excited intraoperative and postoperative incidence of agitation in anxiety group is more than in non-anxiety group (P<0.001).Two groups of patients are satisfied with good anesthesia.ConclusionAnesthesiologists should pay attention to psychological counseling in abortion patients before surgery,which can reduce the patients stress level and is helpful to the successful completion of surgery,as well as reduce the amount of anesthetic to reduce perioperative risk. |
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