仲华根

[摘要] 目的 评估术前心理干预对全麻患者苏醒期恢复的影响。 方法 选择我院2014年1～9月收治的择期手术患者160例作为研究对象，遵照知情同意原则并按照随机数字表法分为观察组、对照组各80例，对照组采用常规术前准备，观察组在对照组的基础上加强术前心理干预，比较两组患者的心理、麻醉苏醒以及疼痛VAS评分状况及不良反应。 结果 访视前两组患者的抑郁自评量表（SDS）与焦虑自评量表（SAS）评分比较均无统计学意义（P>0.05），入手术室时观察组患者的SDS、SAS评分均明显降低，与对照组比较均有统计学意义（P<0.05）；两组的麻醉起效时间、手术持续时间比较均无统计学意义（P>0.05）；观察组患者的术毕清醒时间明显短于对照组，并且观察组术后30min、1h VAS评分明显低于对照组，组间均具有统计学意义（P<0.05）；两组均无严重麻醉不良反应发生。 结论 术前心理干预能够显著改善全麻患者的心理状态，缩短苏醒期恢复时间，起到良好的镇痛作用，应该引起临床关注。

[关键词] 择期手术；全身麻醉；心理干预；苏醒期

[中图分类号] R446.6 [文献标识码] B [文章编号] 2095-0616（2015）17-158-03

Influence study on the recovery period recovery of preoperative psychological intervention in patients with general anesthesia

ZHONG Huagen

Department of Anesthesia，the Traditional Chinese Medicine Hospital of Taizhou City，Taizhou 225300，China

[Abstract] Objective To evaluate the influence of recovery period recovery of preoperative psychological intervention in patients with general anesthesia. Methods 160 patients undergoing elective surgery from January to September 2014 in our hospital were selected as the research subjects，they were divided into observation group and control group in accordance with the principle of informed consent and random number table，80 cases in each group，the control group used routine surgery preparation，the observation group were strengthened preoperative psychological intervention，the psychological，anesthesia and pain VAS score situation of two groups were compared. Results The self-rating depression scale （SDS） and Self-Rating Anxiety Scale （SAS） score of two groups pre-operative interview were compared，the difference was not statistically significant（P>0.05），the SDS，SAS score of observation group when entering the operating room were significantly lower，there was significant difference compared with pre-operative interview （P<0.05）；The onset time of anesthesia， duration of two groups were compared，the difference was not statistically significant（P>0.05）；The anesthesia time of observation group was significantly shorter than the control group， and the VAS scores of observation group after operation 30min，1h were significantly lower than the control group，the differences were significant between two groups（P<0.05）；There were no serious adverse events anesthesia in two groups. Conclusion Preoperative psychological intervention in patients with general anesthesia can significantly improve the patient's mental state anesthesia，shorter recovery period recovery time，play a good analgesic effect，so it should lead to clinical attention.endprint

[Key words] Selective operation；General anesthesia；Psychological intervention；Recovery period

全身麻醉（或称全麻）是指从呼吸道吸入或静脉注射麻醉药物，出现可逆性意识丧失、痛觉消失的状态。全麻在临床手术患者中应用非常广泛，那么手术患者的苏醒以及疼痛状况应该引起临床关注，有研究显示全身麻醉苏醒期受到多因素的影响[1-2]。本研究以术前心理干预对全麻患者苏醒期恢复的影响为切入点进行探讨分析，现将相关病例资料进行总结如下。

1 资料与方法

1.1 一般资料

选择我院2014年1～9月收治的择期手术患者160例入选研究，均签署知情同意书，按照随机数字表法分为观察组、对照组各80例。对照组中男41例，女39例；年龄25～70岁，平均（48.2±3.4）岁；胃肠手术23例，肝胆手术18例，泌尿系统手术11例，妇科手术15例，其他13例。观察……