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目的探讨心理干预在剖宫产手术麻醉中的应用效果。方法收集100例剖宫产手术患者,随机分为实验组和对照组,50例/组。实验组患者术前接受心理支持疗法,对照组患者接受常规术前访视。观察两组入室时、切皮时、刺激腹膜时、娩出婴儿各时段的心率、血压、脉搏、血氧饱和度和术中患者表现及用药情况。结果入室、切皮及娩出婴儿时实验组患者血压显著低于对照组(P<0.05);入室及切皮时实验组患者心率显著少于对照组(P<0.05);各时间点两组患者血氧饱和度均无显著差异(P>0.05)。实验组3例患者应用镇静镇痛药物,对照组患者有11例应用镇静镇痛药物,两组比较差异有统计学意义(P<0.05)。结论心理干预可减轻患者心理负担,降低患者手术过程中的紧张程度,从而减少镇静镇痛药物用量。
Objective To explore the effect of psychological intervention in anesthesia of cesarean section. Methods 100 cases of cesarean section were collected and randomly divided into experimental group and control group, 50 cases / group. Patients in the experimental group received psychological supportive therapy preoperatively and patients in the control group received routine preoperative visits. Observation of two groups into the room, skin incision, stimulation of the peritoneum, the baby was delivered at various times of the heart rate, blood pressure, pulse, oxygen saturation and intraoperative performance and medication. Results The blood pressure of the experimental group was significantly lower than that of the control group (P <0.05). The heart rate of the experimental group was significantly less than that of the control group (P <0.05) There was no significant difference in oxygen saturation (P> 0.05). In the experimental group, sedation and analgesia were applied in 3 patients and sedation and analgesia in 11 patients in the control group. There was significant difference between the two groups (P <0.05). Conclusion Psychological intervention can reduce the psychological burden of patients and reduce the tension during the operation of patients, thereby reducing the amount of sedative and analgesic drugs.