CAJ | 학술논문

目的评价提前注射解痉药物加心理干预在子宫输卵管造影病人中的应用价值。方法观察组258例病员于子宫输卵管造影前30分钟注射阿托品0.5mg,并由专人进行专门心理干预。对照组218例用常规方式进行子宫输卵管造影，进行两组病人手术后输卵管阻塞假阳性率、焦虑值、疼痛程度、血压、心率、心理感受比较。结果输卵管阻塞的假阳性率对照组（14.71%）明显高于观察组（2.35%）；对照组的焦虑值、疼痛程度明显高于观察组；对照组的血压、心率升高多于观察组，观察组的心理感受明显好于对照组。结论子宫输卵管造影前肌注阿托品加心理干预对子宫输卵管造影减少假阳性结果、以及减轻焦虑、疼痛、不过度升高血压、心率，获得较好的心理感受是一个有效的方法，有临床应用价值。
목적평개제전주사해경약물가심리간예재자궁수란관조영병인중적응용개치。방법관찰조258례병원우자궁수란관조영전30분종주사아탁품0.5mg,병유전인진행전문심리간예。대조조218례용상규방식진행자궁수란관조영，진행량조병인수술후수란관조새가양성솔、초필치、동통정도、혈압、심솔、심리감수비교。결과수란관조새적가양성솔대조조（14.71%）명현고우관찰조（2.35%）；대조조적초필치、동통정도명현고우관찰조；대조조적혈압、심솔승고다우관찰조，관찰조적심리감수명현호우대조조。결론자궁수란관조영전기주아탁품가심리간예대자궁수란관조영감소가양성결과、이급감경초필、동통、불과도승고혈압、심솔，획득교호적심리감수시일개유효적방법，유림상응용개치。
Objectives To discuss the value of psychological intervention and atntispasmodic injection in advance in utrerine-salplinggography.Methods 129 cases in observing group were injection atropin with a dosage of 0.5mg 30 minutes before uterine-salpingography,and technical mental nursing were given.109 case in control group were given uterine-salpingography in a traditional way.Comparing the two groups with FPR(false positive rate)of salpinx uterina obstuction,the dysphoric rate,pain degree,blood pressure,heart rate and blood pressure,heart rate.Result The conttol group was obwiously high in FPR,that was 14.71%,while the observing group was 2.35%.Besides,the dysphoric rate and pain degree blood pressure and heart rate, blood pressure,heart rate were all higher in control group .Conclusions psychological intervention and intramuscular injection atropin prophylatically is valuabale in reducing the FPR, dysphoric rate and pain degree.It won,t raise the blood pressure excessively.That is also a good way to proqure psych-reception.