| 子宫肌瘤患者围麻醉期心理干预对麻醉期间应激反应的影响 |
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| 引用本文： | 袁志刚,杨贵英,王振维. 子宫肌瘤患者围麻醉期心理干预对麻醉期间应激反应的影响[J]. 重庆医学, 2009, 38(7) |
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| 作者姓名： | 袁志刚 杨贵英 王振维 |
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| 作者单位： | 第三军医大学检验系,重庆,400038;第三军医大学检验系,重庆,400038;第三军医大学检验系,重庆,400038 |
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| 摘 要： | 目的 探讨围麻醉期心理干预对子宫肌瘤患者焦虑、抑郁程度和应激反应的影响.方法 选择硬腰联合麻醉下腹式全子宫切除术的子宫肌瘤患者60例,完全随机法分为心理干预组(30例)和对照组(30例).对照组行常规子宫全切除术准备,心理干预组在常规子宫全切除术准备的基础上进行心理干预.分别测评入院第2天晨7∶40(T1)、手术前1d晨7∶40(T2)、麻醉满意切皮时(T3)、手术结束时(T4)和术后第2天晨7∶40(T5)的SAS和SDS评分、心率和血清皮质醇浓度.结果 对照组在T2、T3、T4和T5时间点的SAS和SDS评分高于心理干预组(P<0.05).与T1时间点相比,两组患者的HR虽然都有所升高,但心理干预组明显低于对照组(P<0.05),这表明心理干预组患者围麻醉期HR较平稳.与T1时间点相比,两组患者的血清皮质醇浓度虽然都有所升高,但心理干预组低于对照组(P<0.05),且T4时间点最高.结论 围麻醉期心理干预能明显降低子宫肌瘤患者麻醉期间的焦虑、抑郁水平和应激反应.
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| 关 键 词： | 心理干预 应激 子宫肌瘤 |
Effect of psychological intervention during anesthetic stage on perioperative stress of patients with uterine myoma |
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| YUAN Zhi-gang,YANG Gui-ying,WANG Zhen-wei. Effect of psychological intervention during anesthetic stage on perioperative stress of patients with uterine myoma[J]. Chongqing Medical Journal, 2009, 38(7) |
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| Authors: | YUAN Zhi-gang YANG Gui-ying WANG Zhen-wei |
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| Abstract: | Objective To explore the effect of psychological intervention during anesthetic stage on perioperative stress of patients with uterine myoma.Methods Adult female patients with uterine myoma randomly divided into intervention(n= 30) group and control(n=30) group.In control group,patients received regular nursing.In intervention group,patients received psychological intervention during anesthetic stage.Interventions were given to the intervention group by providing psychological support,health education and r... |
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| Keywords: | psychological intervention stress uterine myoma |
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