心理干预对肺癌患者围术期的影响

The Effect of Psychological Intervention on the Patients of Lung Cancer in the Period of Operative

为探讨心理干预对行肺叶切除术的肺癌患者应激反应及麻醉苏醒期的影响。选择60例患者随机分为对照组(A)与干预组(B)。A组常规术前准备,B组增加心理干预,结果A组较B组麻醉前心率快、血压高,苏醒期躁动发生率高,拔管时间长,儿茶酚胺增加;恶心、呕吐发生率无差异。可见心理干预能减少应激反应,利于麻醉手术及术后康复。

In order to study the effect of psychological intervention on the stress reaction ot lung cancer sufferers unaergoing lobectomy of lung and analepsia period of general anaesthesia. 60 patients were divided into control group （A） and intervention group （B）at random. The routine preoperative prepare was given to the A group,while perioperative psychological intervention was applied to the B group on the basis of routine preoperative prepare. In group B, HR, BP,the incidence rate of restlessness,extubate time, the change of catecholamine were lower than that of the group A. However,the incidence of nausea and vomiting were not difference. We concluded that Psychological intervention can reduce the stress reaction, was benefit to the anesthesia,operation and postoperative recovery.