[1]欧阳杰,屈启才,思永玉,等.术前心理教育在腰硬联合麻醉下剖宫产术中的应用[J].中国计划生育和妇产科,2018,(9):70-72.
　OUYANG jie,QU Qi-cai,SI Yong-yu,et al.Application of preoperative psychointerferences in cesarean section under combined spinal and epidural anesthesia[J].Chinese Journal of Family Planning & Gynecotokology,2018,(9):70-72.
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术前心理教育在腰硬联合麻醉下剖宫产术中的应用
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年9期
页码:
70-72
栏目:
论著与临床
出版日期:
2018-09-25

文章信息/Info

Title:
Application of preoperative psychointerferences in cesarean section under combined spinal and epidural anesthesia
作者:
欧阳杰; 屈启才; 思永玉; 魏星*
昆明医科大学第二附属医院麻醉科
Author(s):
OUYANG jie; QU Qi-cai; SI Yong-yu; WEI Xing*
Department of Anesthesiology,the 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,P.R.China
关键词:
心理干预; 剖宫产; 腰硬联合麻醉
Keywords:
psychointerferences; caesarean delivery; combined spinal-epidural anesthesia
分类号:
R 395.5
摘要:
目的探讨术前心理干预在腰硬联合麻醉下剖宫产术中的应用效果。方法选择2016年8月至2017年6月昆明医科大学第二附属医院腰硬联合麻醉下行择期剖宫产术的产妇60例，按随机数字表法分为两组，每组30例。A组为心理干预组，在麻醉开始前给予心理干预，B组为对照组，不用心理干预。记录患者手术开始切皮时的平均动脉压、心率、脉搏氧饱和度、呼吸频率，采用焦虑自评量表（Self-Rating Anxiety Scale，SAS）评估两组产妇术前1 d未进行心理干预前及术后第7 d的焦虑情况。结果两组产妇术前1 d SAS评分比较差异无统计学意义（P＞005）。术中切皮时，A组患者平均动脉压、心率明显低于B组；A组产妇术后7 d的SAS评分与术前1 d比较明显下降，也明显低于B组，差异均有统计学意义（P＜005）。结论腰硬联合麻醉前心理干预可有效缓解剖宫产手术产妇的焦虑情绪，降低切皮时的心血管反应。
Abstract:
ObjectiveTo assess the effect of preoperative psychointerferences on caesarean delivery under combined spinal-epidural anesthesia. Methods60 healthy parturients undergoing elective caesarean delivery under combined spinal-epidural anesthesia in the 2nd Affiliated Hospital of Kunming Medical University from August 2016 to June 2017 were selected,they were divided into two groups by random number table,each with 30 cases. Group A were given psychointerferences before giving anesthesia, and the control group without psychointerferences. Mean arterial pressure (MAP),heart rate（HR）, blood oxygen saturation (SPO2)and respiratory rate(RR) were measured at the time of skin incision. Both groups were surveyed on self-rating anxiety scale(SAS) respectively one day before and seven day after operations. ResultsThe score of SAS had no significant difference 1 day before operation in two groups（P＞005）. The MAP and HR in group A were significantly lower than those in group B at the time of incision. The SAS score of group A at 7 d after operation was significantly lower than that at 1 d before surgery, and also significantly lower than that of group B(P＜005).ConclusionThe psychological intervention before spinal anesthesia can effectively alleviate the anxiety of patients undergoing cesarean section and reduce the cardiovascular reaction during skin incision.

参考文献/References:

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备注/Memo

备注/Memo:
云南省卫生系统学科带头人基金（项目编号：D-201213）
更新日期/Last Update: 2018-09-25