剖宫产时心理干预对镇痛效果的影响

Study on the effects of psychointerferences on ease pain for caesarean section

目的:研究剖宫产时心理干预对镇痛效果的影响。方法:将2004年1月～2005年7月选择剖宫产的产妇200例随机分为实验组和对照组各100例;实验组除常规处理外,还根据产妇最关心、最担心的问题应用指导性语言进行阶段性心理咨询和辅导,同时对照组采用常规处理,两组分别于术前、术后进行产妇焦虑自评量表(SAS)测定。结果:两组产妇均存在不同程度的焦虑,并且术前SAS明显高于术后(P<0.01);实验组产妇达T4麻醉平面所需时间明显低于对照组(P<0.01),镇痛效果评分明显高于对照组,(P<0.01);麻醉药物总量明显低于对照组(P<0.01);术后镇痛时间明显高于对照组,有显著性差异(P<0.01)。结论:剖宫产时心理干预有利于加强手术时麻醉镇痛效果。

Objective： To explore the effect of ease pain of psychointerferences on pregnant woman in caesarean section Methods： 200 cases of parturients on who abdominal delivery were carried out from January 2004 to June 2005 were randomly divided into the experimental group （100 cases） and the control group （100 cases）. Besides the routine treatment, psychointerferences were carried out among the experimental group. Psychoconsuhant and guidance were carried out with guidance words according to the problems on which parturient focus. The control group was treated routinely. Both groups were surveyed on SAS respectively before and after operations. Results： Parturients of the two groups felt anxious to some extent, and SAS before operation was much higher than that after operation （P 〈0.01 ）. The experimental group compared with the control group had significant differences in the time to the anesthetic plane T4 （P 〈 0.01 ）, the analgesic effect score （P 〈 0. 01 ）, the consumption of anesthetic and the analgesic effect time after operation （ P 〈 0.01 ） . Conclusion： Service pattern of psychointerferences during the abdominal delivery is favorable to enhance analgesic effect, to decrease parturient and newborn neopathy and improve their prognosis.