支扩大咯血病人的心理状况及对止血治疗的影响

目的 :了解支气管扩张大咯血病人的心理状况 ,探讨心理因素对止血治疗的影响。方法 :采用SCL -90调查大咯血病人的心理状况 ,并分组治疗 ,比较治疗组与对照组止血效果 ,分析心理因素对临床止血治疗的影响。结果 :在两组 6 2例大咯血病人中 ,83 87%有焦虑情绪 ,6 6 13%呈恐惧反应。心理因素引起血压升高者占 32 2 6 % ,影响垂体后叶素使用者占 2 0 97%。咯血持续时间 :治疗组平均 5天 ,对照组 7天。结论 :支扩大咯血病人多有短期性心理反应 ,主要表现为焦虑及恐怖性倾向。心理因素可使血压升高 ,在血管破裂的基础上加重咯血 ,并使垂体后叶素使用受限 ,多方面均影响止血效果。故对大咯血病人在止血治疗的同时 ,应加强心理治疗 ,不仅有益于心身健康 ,且可缩短咯血时间

Psychological Status of Patients with Hemoptysis caused by Bronchiectasis and its Influence to Hemostasia Therapy

Objective:to investigate the psychological status of the patients suffering from hemoptysis caused by bronchiectasis and influence to hemostasia therapy.Methods:patients were randomly divided into two groups (study group and control group) after their psychological status was collected with SCL-90. The study group received supportive psychotherapy. Both groups were evaluated by parameters such as change of the blood pressure, dosage of pituitrin and duration of hemoptysis.Results:Among all 62 patients, 83.87% were in anxiety, 66.13% had fear. 32.26% of the patients had hypertension relevant to psychological factors, in some of them (20.97%) the use of pituitrin was limited. The time of the mean duration of the hemoptysis decreased to 5 days in the study group, while it was 7 days in the control group.Conclusion:Patients suffering from hemoptysis caused by bronchiectasis usually have mood disturbance, which leads to hypertension. The psychological factors affect not only the hemoptysis but also the use of pituitrin. Supportive psychotherapy is effective in shortening the duration of hemoptysis.