腹股沟斜疝患儿围手术期不同心理状况对手术及术后康复的影响

Study on psychological behavior of children with indirect inguinal hernia in perioperative period.

目的研究小儿围术期不同的心理行为对手术及术后康复的影响。方法以１８０例５～１２岁腹股沟斜疝患儿为研究对象，根据其术前的心理状况，分为轻度畏惧、无畏惧、过度畏惧三组，分别对其术中出血量、刀口愈合情况，术后适应性进行分析。结果术前轻度畏惧者术中出血少，术后适应好，刀口甲级愈合率高；无畏惧者术后适应不良；过度畏惧者预后较差。结论小儿围手术期进行心理护理是必要的，其目的不仅是消除患儿对手术的过度恐惧，还要使其对自己生理上将发生的痛苦具有一定的应激准备。

Objective To research psychological behaviors of Childen with indirect inguinal hernia in perioperative period Methods 180 pathients (aged 5￣12)with inguinal hernia were dividel into three groups:the light anxiety group,no anxiety group and heavy anxiety group.The bleeding amount during operation,the healing of wound, the postoperative adaptbility were observed in three guoups.Results the light anxiety group had a little bleeding during operation and the highest primary healing rates of incisions and postoperatine adaptation is favorable.Having lack of psychological preparation, patients without anxiety were postoperative maladjustment.and the prognosis is unfavourable in heavy anxiety group.Conclusions since preoperative psychological state of patients have a imporment effect on operation and postoperative rehabilitation, the preoperative psycholoyical care is necessary.