【摘要】 <正> 情绪活动和某些生理机能或心理过程的关系很久以来就已进行过大量的研究。外科手术前患者的情绪状态及其相应的生理机能的变化,也曾受到注意。患者在意识清醒状态下进行针麻手术,他的情绪状态对针麻过程及其效果的作用如何,这种情绪状态和某些心理、生理机能有什么联系?这是针麻临床上和理论上应予探讨的问题之一。本工作试图综合分析患者的情绪状态和与之伴随的某些生理生化指标变化,以探讨更多还原

【Abstract】 The study was carried out during 1975-1976, and the Ss were 101patients for lung resection under acupuncture anesthesia. The results showed: the emotional states before needle inserting, asassessed either by self-observation or by objective behavior observation,highly correlated with the effect of acupuncture anesthesia, this was espe-cially the case with the latter assessment (P<0.001). The tensionalsoften had worse effect than the stables. Moreoyer, Pts who seemed stableat the beginning and then became tonsional usually had bad effects.The emotional states were related to the following physiological andpsychological functions: 1) Most of the emotional tensionals had greaterfluctuations in respiration and pulse amplitude when lying quietly afterentering the operation room (51Ss). 2) While inserting the acupunctureneedle, the combined fluctuations of G. S. R., respiration and pulse amplitudewere markedly larger for the tensionals than for the stables (P<0.001, 47Ss). 3) The pts with tensional or medial emotional states, the plasma11-OHCS (as compared to that tested in the ward) increased more sign-ificantly than the stables (P<0.05, 47 Ss). 4) All the stables completed thetime estimating test more accurately on entering operation room than thatperformed in the ward, while the most of the tensionals showed worse per-formance than in the ward (P<0.01, 32 Ss). 5) The pts that overconcernedabout acupuncture anesthesia usually were the tensionals when entering theoperation room (P<0.001, 99 Ss). 6) The results of the predicting test,based upon the combined responses of G. S. R., respiration and pulse am-plitude during acupuncture in the laboratory before operation, were alsohighly correlated with the emotional states when entering the operationroom (P<0.01, 101 Ss). 7) Oversensitive patients, evaluated through thecompound cutaneous sensitivity tests of touch and pain befor operaton.usually were the emotionaly tensionals when entering the operation room(P<0.01, 87 Ss). After the acupuncture induction, the catecholamines inblood of most of the tensionals increased while most of the stables hadthis blood substance decreased. However, the changes in catechoamines inblood were related with the effect of acupuncture anesthesia, pts. whohave increased cathecholamine in blood often show bad effect.更多还原