心理干预对颌面外科局麻手术患者的影响分析

摘要

目的：观察心理干预对颌面外科局麻手术患者的心理影响。方法：选择我院2009年2月－2013年8月进行局麻手术治疗的182例颌面外科患者，随机分为对照组和干预组各91例。对照组患者进行常规的健康教育；干预组患者在常规健康教育的基础上进行围手术期心理干预。运用焦虑自评量表（SAS）测量患者的心理状态，围手术期对患者的呼吸、心率、血压、脉搏以及血氧饱和度进行监测，同时运用视觉模拟镇痛评分法（VAS ）对患者的镇痛效果进行评估。结果：两组患者术前1h心理均处于不同程度的焦虑状态，但是干预组明显低于对照组；观察组患者术中收缩压、舒张压、心率及呼吸均比对照组低；术后疼痛程度比对照组低，差异均有显著意义（P均＜0．01）。结论：对颌面外科患者进行心理干预，能明显降低和减少患者的负性情绪，减轻心源性应激的冲击，提高对疼痛的耐受能力，帮助其保持良好的身心状态。%Objective :To investigate the psychological impact of psychological intervention on patients with maxillofa‐cial surgery operation .Methods :In our hospital from February 2009 to August 2013 surgery under local anesthesia in the treatment of 182 cases of oral and maxillofacial surgery patients ,were randomly assigned to control group and in‐tervention group of 91 cases .The control group received conventional health education ;intervention groups of patients in the conventional health education based on peri operative psychological intervention .Use of anxiety self rating scale (SAS) measurement in patients with mental state ,peri operation period of the patient's breathing ,heart rate ,blood pressure ,pulse and blood oxygen saturation were monitored ,and the use of visual simulations to evaluate the analgesic effect of pain score (VAS) of patients .Results:Two groups of patients with preoperative psychological 1 hour are in va‐rying degrees of anxiety ,but the intervention group was significantly lower than that of the control group ;the observa‐tion group in patients with systolic blood pressure ,diastolic blood pressure ,heart rate and respiration are better than those of the control group in the low ;postoperative pain degree is lower than that of control group ,the differences were significant meaning (P<0 .01) .Conclusion:Psychological intervention on patients of oral and maxillofacial surger‐y ,can significantly reduce and reduce the number of patients with negative emotions ,reduce emergency cardiogenic shock ,improve tolerance to pain ,help them to maintain good physical and mental state .