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目的观察心理干预对异丙酚无痛人流术患者的影响。方法选择美国麻醉医师协会(ASA)病情分级Ⅰ-Ⅱ级的早孕患者66例,随机分为2组:P组(n=32)为异丙酚麻醉人工流产手术组;G组(n=34)为心理干预后行异丙酚麻醉人工流产手术组。术中均连续监测BP、HR、SpO2,并于术后20 m in分别对患者用zung焦虑自评量表法进行焦虑评分和视觉模拟评分法(VAS)测查疼痛。结果术毕时2组均有明显的血压下降(P<0.01),但心率变化不大(P>0.05)。2组间术后血压比较G组高于P组差异有统计学意义(P<0.05),组间心率变化不大(P>0.05)。对照组总异丙酚用药量为(143±20.4)mg,观察组为(121±13.4)mg,2组间差异有统计学意义(P<0.01)。焦虑评分P组5.6±1.6,G组0.7±0.1;疼痛评分P组4.9±0.6,G组1.36±0.12(P<0.01)。结论心理干预应用于无痛人流术,使药物剂量大幅度降低、血流动力学更趋于平稳、抗焦虑和恐惧等更为完善。
Objective To observe the effect of psychological intervention on painless abortion in patients with propofol. Methods Sixty-six cases of early pregnancy in the American College of Anesthesiologists (ASA) with grade Ⅰ-Ⅱ were randomly divided into two groups: group P (n = 32) was anesthetized with propofol anesthesia; group G ) For psychological intervention after propofol anesthesia induced abortion group. The patients were continuously monitored for BP, HR and SpO2 during the operation. Anxiety score and visual analogue scale (VAS) were used to measure the pain in patients with the Zung anxiety scale. Results At the end of operation, there was a significant decrease of blood pressure in both groups (P <0.01), but heart rate did not change much (P> 0.05). The postoperative blood pressure of the two groups was significantly higher than that of the P group (P <0.05), but the heart rate did not change much between the two groups (P> 0.05). The total propofol dosage was (143 ± 20.4) mg in the control group and (121 ± 13.4) mg in the observation group, with a significant difference between the two groups (P <0.01). The anxiety score was 5.6 ± 1.6 in group P, 0.7 ± 0.1 in group G, 4.9 ± 0.6 in group P, and 1.36 ± 0.12 in group G (P <0.01). Conclusion Psychological intervention is applied to painless abortion, so that the dosage of the drug is greatly reduced, hemodynamics tends to be more stable, anti-anxiety and fear are more perfect.