CAJ | 학술논문

目的：探讨术前心理干预对未产妇无痛人工流产术的临床疗效。方法：选取60例拟进行无痛人工流产术的未产妇，随机分为对照组和干预组，每组30例。对照组采用丙泊酚联合芬太尼静脉麻醉，干预组采用术前心理干预后，行丙泊酚联合芬太尼静脉麻醉。评价患者手术前后焦虑自评量表（ SAS）评分、麻醉效果、面部表情疼痛量表（ FPS-R）评分、丙泊酚用量和手术时间的变化情况。结果：干预组经心理干预后，SAS评分较干预前明显降低（ P＜0.01）。两组手术前后SAS评分差值比较，差异显著（ P＜0.01），与对照组相比，干预组麻醉效果较好，差异显著（ P＜0.05），麻醉效果达优率相对升高（86.7％ vs 56.7％），FPS-R评分显著降低（ P＜0.05），丙泊酚用量也明显减少（ P＜0.05），但手术时间并无明显差异（ P＞0.05）。结论：术前心理干预不但能减轻患者焦虑情绪，而且在改善麻醉、镇痛效果等方面具有一定的积极作用。
목적：탐토술전심리간예대미산부무통인공유산술적림상료효。방법：선취60례의진행무통인공유산술적미산부，수궤분위대조조화간예조，매조30례。대조조채용병박분연합분태니정맥마취，간예조채용술전심리간예후，행병박분연합분태니정맥마취。평개환자수술전후초필자평량표（ SAS）평분、마취효과、면부표정동통량표（ FPS-R）평분、병박분용량화수술시간적변화정황。결과：간예조경심리간예후，SAS평분교간예전명현강저（ P＜0.01）。량조수술전후SAS평분차치비교，차이현저（ P＜0.01），여대조조상비，간예조마취효과교호，차이현저（ P＜0.05），마취효과체우솔상대승고（86.7％ vs 56.7％），FPS-R평분현저강저（ P＜0.05），병박분용량야명현감소（ P＜0.05），단수술시간병무명현차이（ P＞0.05）。결론：술전심리간예불단능감경환자초필정서，이차재개선마취、진통효과등방면구유일정적적겁작용。
Objective:To investigate the clinical effects of preoperative psychological intervention on nulliparous women undergoing painless artificial abor-tion.Methods:Sixty young nulliparous women undergoing planned painless artificial abortion were randomly allocated to control group (n=30) and inter-vention group (n=30).The control group received intravenous anesthesia with propofol and fentanyl,and the intervention group were given combined in-travenous analgesics of propofol and fentanyl with additional preoperative psychological intervention .Two groups were examined concerning the preoperative scoring on Self-rating Anxiety Scale (SAS),analgesic effect,intraoperative scores on Faces Pain Scale-Revised (FPS-R),dosage of propofol and operative time.Results:SAS scoring in the intervention group was significantly lower than that before psychological intervention (P <0.01),and two groups were significantly different regarding SAS scores before operation(P<0.01).Compared to the control group,intervention group achieved better analgesic effects (86.7% vs.56.7%),with lower FPS-R scoring and reduced dosage of propofol(P <0.05),yet the operative time was not significant(P >0.05). Conclusion:Preoperative psychological intervention may not only relieve the anxiety but improve the analgesic effect on nulliparous women undergoing painless artificial abortion.