【摘要】 目的分析术前心理干预对酒石酸布托啡诺联合丙泊酚控制无痛人工流产患者焦虑情绪与疼痛的影响。方法选取本院2019年7月～2020年7月收治的198例应用酒石酸布托啡诺联合丙泊酚麻醉的人工流产患者,将患者采用随机数字表现法,分成研究组(n=99)与对照组(n=99),对照组开展常规干预,研究组联合术前心理干预,比对两组患者术后焦虑评分、疼痛评分、手术相关指标、术后并发症。结果研究组焦虑自评量表(SAS)评分低于对照组(P<0.05);研究组手术平均耗时、术中失血量、术后阴道出血时间、术后月经恢复时间均短于对照组,有统计学意义(P<0.05);研究组术后并发症(宫腔粘连、子宫穿孔、宫腔感染、吸宫不全)发生率低于对照组,有统计学意义(P<0.05);研究组干预后疼痛评分低于对照组(P<0.05)。结论酒石酸布托啡诺联合丙泊酚控制无痛人工流产患者采用术前心理干预,可有效改善患者焦虑情绪与疼痛评分,使患者保持良好的状态,促进术后康复。更多还原

【Abstract】 Objective To analyze the effect of preoperative psychological intervention on butorphanol tartrate combined with propofol to control anxiety and pain in patients with painless induced abortion. Methods A total of 198 induced abortion patients treated with butorphanol tartrate combined with propofol anesthetized in our hospital from July 2019 to July 2020 were selected, and the patients were divided into study groups(n=99) using random number representation method. With the control group(n=99), the control group carried out routine intervention, and the study group combined with preoperative psychological intervention to compare the postoperative anxiety score, pain score, surgery-related indicators, and postoperative complications of the two groups. Results The self-rating anxiety scale(SAS) score of the study group was lower than that of the control group(P<0.05); the study group’s average operation time, intraoperative blood loss, postoperative vaginal bleeding time and postoperative menstrual recovery time were shorter than those of the control group, statistically significant(P<0.05); the incidence of postoperative complications(uterine adhesions, uterine perforation, uterine cavity infection, uterine insufficiency) in the study group was lower than that of the control group, with statistical significance(P<0.05); the pain score of the study group after intervention was lower than that of the control group(P<0.05). Conclusion Preoperative psychological intervention with butorphanol tartrate combined with propofol to control painless induced abortion can effectively improve the anxiety and pain scores of the patients, keep the patients in good condition, and promote postoperative recovery.更多还原