CAJ | 학술논문

目的：探讨患者的心理因素对无痛人工流产术(无痛人流)的影响。方法根据焦虑自评量表法对自愿接受无痛人流术的380例患者进行评分，选择焦虑型患者184例，随机分为心理治疗组(92例)和对照组(92例)，心理治疗组术前给予心理疏导、术后专职人员护理；对照组不给予任何干预。观察两组患者给药前后及唤醒前后生命体征变化、术中躁动发生率、麻醉药用量及手术时间。结果两组患者除对照组脉搏、血压波动外，其他各项生命体征用药前后及唤醒前后变化差异无统计学意义(P>0.05)，但两组患者在术中躁动发生率、麻醉药用量及手术时间方面比较差异有统计学意义(P<0.05)。结论对无痛人流患者给予心理干预能降低术中躁动发生率、减少麻醉药用量、缩短手术时间，值得在临床推广应用。
목적：탐토환자적심리인소대무통인공유산술(무통인류)적영향。방법근거초필자평량표법대자원접수무통인류술적380례환자진행평분，선택초필형환자184례，수궤분위심리치료조(92례)화대조조(92례)，심리치료조술전급여심리소도、술후전직인원호리；대조조불급여임하간예。관찰량조환자급약전후급환성전후생명체정변화、술중조동발생솔、마취약용량급수술시간。결과량조환자제대조조맥박、혈압파동외，기타각항생명체정용약전후급환성전후변화차이무통계학의의(P>0.05)，단량조환자재술중조동발생솔、마취약용량급수술시간방면비교차이유통계학의의(P<0.05)。결론대무통인류환자급여심리간예능강저술중조동발생솔、감소마취약용량、축단수술시간，치득재림상추엄응용。
ObjectiveTo investigate influence of psychological factors in patients on painless artificial abortion.MethodsSelf-rating anxiety scale was applied in 380 patients receiving painless artificial abortion voluntarily. A total of 184 cases of anxiety type were randomly divided into psychological treatment group (92 cases) and control group (92 cases). The psychological treatment group received preoperative psychological counseling, postoperative targeted nursing. The control group was given no intervention measures. Vital signs, intraoperative incidence of dysphoria, narcotic dosage, and operation time were observed in the two groups around drug administration and awaking.ResultsChanges of vital signs, except pulse and blood pressure in control group, had no statistical significance between the two groups around drug administration and awaking (P>0.05). The difference of intraoperative incidence of dysphoria, narcotic dosage, and operation time had statistical significance between the two groups (P<0.05).ConclusionImplement of psychological intervention for painless artificial abortion patients can reduce intraoperative incidence of dysphoria, narcotic dosage, and operation time. This method is worth clinical promotion and application.