心理干预对全麻手术患者围手术期应激反应的影响

目的观察心理干预对全麻手术患者围手术期应激反应的影响。方法 100例拟行全麻手术的患者随机分两组：A组为对照组,常规护理;B组为心理干预组,围手术期进行综合心理干预治疗。入院时（T1）、手术前（T2）、术中（T3）、术后48～72h（T4）分别从外周静脉抽取血标本,采用放免法测定空腹血糖及血浆皮质醇。结果两组患者围手术期血浆皮质醇B组在T2,T3明显低于A组（P〈0.05）;而血糖B组在T2,T3,T4明显低于A组（P〈0.05）。结论围手术期实行心理干预,能有效地减轻患者术后的应激反应。

Effect of psychological intervention on stress responses in patient after general anaesthesia

Objective To study the effect of psychological intervention on stress responses in patient after general anaesthesia.Methods One hundred patients scheduled for general surgery were randomly allocated to one of the two groups：A、B.Each group was fifty cases.In group A patients received regular nursing.In group B patients received psychological intervention before operation.Venous blood samples were obtained before psychological intervention（1 d before operation）（T1）,Before induction of anesthesia（T2）,during operation（T3）,and 48-72 hours after operation（T4）for determination of plasma glucose and cortisoil.Results Plasma glucose in group B were significantly lower than those in group A at T2 and T3（P0.05）;and cortisoil were lower in group B than those in group A at T2 and T3（P0.05）,too.Conclusion Psychological intervention can effectively relieve stress responses during cardiac surgical procedures.