【摘要】 目的 探究针对性心理干预在CT引导下经皮肺穿刺活检的应用效果及其对术后并发症的影响。方法 将98例行CT引导下经皮肺穿刺活检术患者按照随机数字表法分为对照组、研究组，各49例。两组患者均进行CT引导下经皮肺穿刺活检术，对照组患者给予常规干预，研究组患者在对照组的基础上给予针对性心理干预（两组患者均干预两周）。比较两组患者干预前后血压、心率及焦虑自评量表（SAS）、抑郁自评量表（SDS）、90项症状清单（SCL-90）、视觉模拟评分量表（VAS）评分，并比较两组患者干预后并发症发生率以及患者满意度。结果 干预后，两组患者收缩压、舒张压、心率均有所上升，但与对照组相比，研究组收缩压、舒张压、心率较低（P<0.01）；两组患者SAS、SDS、VAS评分及SCL-90总分、各因子分均较干预前降低，且研究组低于对照组（P<0.01）。干预后，研究组患者并发症总发生率低于对照组，总满意度高于对照组（P<0.05或0.01）。结论 针对性心理干预应用于CT引导下经皮肺穿刺活检术患者，可有效改善患者负面情绪，降低患者并发症发生率。更多还原

【Abstract】 Objective To explore the application effect of targeted psychological intervention(TPI) in CT-guided percutaneous lung biopsy(PNLB) and its influence on postoperative complications.Methods Ninety-eight patients undergoing CT-guided PNLB were divided into control and study group with 49cases in each according to random number table. Both groups underwent the CT-guided PNLB,controls received routine intervention,and study group did the TPI on the basis of control group for 2 weeks.Such indexes were compared between two groups as pre-and post-intervention blood pressures(BP),heart rates(HR) as well as scores on the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Symptom Checklist-90(SCL-90),and Visual Analogue Scale(VAS),so were the incidences of post-intervention complications and patients’ satisfactions done.Results After intervention,systolic blood pressures,diastolic blood pressures and HRs elevated in both groups and those were lower in study than control group(P<0.01);scores on the SAS,SDS and VAS as well as the total and each factor scores of the SCL-90 in both groups lowered comapred with pre-intervention and those were lower in study than control group(P<0.01).After intervention total incidence of complication was lower and total satisfaction rate higher in study than control group(P<0.05 or0.01).Conclusion The TPI application in patients undergoing CT-guided PNLB can effectively improve patients’ negative emotions and reduce the incidence of complications.更多还原