CAJ | 학술논문

合并精神疾病患者接受剖宫产术时，由于此类患者的特殊性，患者以及其家属、医务人员心理表现都有别于普通情况。合理遵守此类患者的如下麻醉方案优化原则：麻醉操作可以实施原则、麻醉效能有效控制原则、避免诱发或加重精神疾病原则、患者无痛和新生儿安全原则、术后镇痛衔接原则、全程心理干预原则和替代麻醉预案制定原则，同时科学制定患者围术期如下管理规章制度：应急程序的及时启动、患者家属及监护人的沟通与知情同意、麻醉前后特定病房或医疗单位的建立和麻醉医疗期间医患合法权益的保障，只有这样医患双方安危和权益才能得到最佳保障。
합병정신질병환자접수부궁산술시，유우차류환자적특수성，환자이급기가속、의무인원심리표현도유별우보통정황。합리준수차류환자적여하마취방안우화원칙：마취조작가이실시원칙、마취효능유효공제원칙、피면유발혹가중정신질병원칙、환자무통화신생인안전원칙、술후진통함접원칙、전정심리간예원칙화체대마취예안제정원칙，동시과학제정환자위술기여하관리규장제도：응급정서적급시계동、환자가속급감호인적구통여지정동의、마취전후특정병방혹의료단위적건립화마취의료기간의환합법권익적보장，지유저양의환쌍방안위화권익재능득도최가보장。
When patients with mental illness received cesarean section ,because of the specificity of those patients , the psychological performance of the patients ,relations and related medical staff were significantly different from what they did during normal situation .In order to guarantee the physician-patient safety and equity ,the following optimization principles of anesthesia schemes for patients should be obeyed reasonably :anesthesia operation implemented principle ,anesthetic efficacy effectively controlled principle , avoid induce or aggravate mental illness principle , patients with painless and neonatal safety principle ,postoperative analgesia cohesive principle ,psychological intervention principle ,and replace for the anesthetic plan formulation principle ,and the relevant management rules and regulations below for those patients during perioperative period should be formulated scientifically :starting the emergency procedures timely ,communication and informed consent of patients ' families and guardian ,a specific ward or medical units established before and after anesthesia .Only in this way can guarantee the legitimate rights and interests for doctors and patients during anesthesia .