未产妇无痛人工流产术前心理干预效果观察

目的:探讨术前心理干预对未产妇无痛人工流产术的临床疗效。方法:选取60例拟进行无痛人工流产术的未产妇,随机分为对照组和干预组,每组30例。对照组采用丙泊酚联合芬太尼静脉麻醉,干预组采用术前心理干预后,行丙泊酚联合芬太尼静脉麻醉。评价患者手术前后焦虑自评量表(SAS)评分、麻醉效果、面部表情疼痛量表(FPS-R)评分、丙泊酚用量和手术时间的变化情况。结果:干预组经心理干预后,SAS评分较干预前明显降低(P<0.01)。两组手术前后SAS评分差值比较,差异显著(P<0.01),与对照组相比,干预组麻醉效果较好,差异显著(P<0.05),麻醉效果达优率相对升高(86.7%vs56.7%),FPS-R评分显著降低(P<0.05),丙泊酚用量也明显减少(P<0.05),但手术时间并无明显差异(P>0.05)。结论:术前心理干预不但能减轻患者焦虑情绪,而且在改善麻醉、镇痛效果等方面具有一定的积极作用。

Clinical effects of preoperative psychological intervention on nulliparous women undergoing painless artificial abortion

Objective：To investigate the clinical effects of preoperative psychological intervention on nulliparous women undergoing painless artificial abor-tion.Methods：Sixty young nulliparous women undergoing planned painless artificial abortion were randomly allocated to control group （n=30） and inter-vention group （n=30）.The control group received intravenous anesthesia with propofol and fentanyl,and the intervention group were given combined in-travenous analgesics of propofol and fentanyl with additional preoperative psychological intervention .Two groups were examined concerning the preoperative scoring on Self-rating Anxiety Scale （SAS）,analgesic effect,intraoperative scores on Faces Pain Scale-Revised （FPS-R）,dosage of propofol and operative time.Results：SAS scoring in the intervention group was significantly lower than that before psychological intervention （P 〈0.01）,and two groups were significantly different regarding SAS scores before operation（P〈0.01）.Compared to the control group,intervention group achieved better analgesic effects （86.7% vs.56.7%）,with lower FPS-R scoring and reduced dosage of propofol（P 〈0.05）,yet the operative time was not significant（P〈0.05）. Conclusion：Preoperative psychological intervention may not only relieve the anxiety but improve the analgesic effect on nulliparous women undergoing painless artificial abortion.