【摘要】 目的:探讨节育手术中心理干预对丙泊酚麻醉效果的影响。方法:将人工流产术和输卵管结扎术受术者分别随机分为干预组(R1组、L1组)和对照组(R2、L2组),4组在入所就诊时和术前进行焦虑自评量表(SAS)和抑郁自评量(SDS)评分,干预组在就诊过程中进行心理干预。比较组间丙泊酚首次用量,丙泊酚总用量,基础、术前和术中平均动脉压(MBP)和心率(HR),术中、术后不良反应。结果:术前SAS、SDS分值、MBP和HR和丙泊酚首次剂量对照组均高于干预组(P<0.05)。在术中和术后对照组不良反应高于干预组。结论:心理干预能缓解焦虑,保持血流动力学稳定,减少计划生育手术中丙泊酚麻醉首次用量,减少并发症发生。更多还原

【Abstract】 Objective:To study the impact of psychological intervention on propofol anesthetic dose,vital sign profiles and anesthetic complications in the birth control operations.Methods:The patients requesting an induced abortion or tubal ligation were randomly divided into intervention group(R1 group,L1 group) and control group(R2 group,L2 group).Those in intervention group(R1,L1) were given psychological interventions in the whole process of treatment,while those in control group(R2,L2) were treated with the standard procedures.SAS and SDS scores were determined at the first visit and before surgery for all patients.The first propofol dose,total propofol dose,and basal,preoperative and intraoperative MBP and heart rate(HR),and any anesthetic complications were recorded and compared.Results:Preoperative SAS and SDS scores,preoperative MBP and HR,and the first dose of propofol were all significantly lower in intervention group than in control group(P<0.05).The incidence of intraoperative/postoperative anesthetic complications in control group was significantly higher than that in the intervention group(P<0.05).Conclusion:The psychological intervention could help to relieve the level of anxiety,maintain hemodynamic stability,and reduce the first propofol dose and the incidence of complications.更多还原