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心理干预在胶原酶溶盘术中的应用研究 |
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心理干预在胶原酶溶盘术中的应用研究
摘要 目的：探讨心理干预在胶原酶溶盘术中应用的作用。方法：将120例腰椎间盘突出症拟行胶原酶溶盘术的患者分成干预组和对照组，采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对手术前后两组患者的心理状态进行评定；在术前30分钟分别测量记录两组病人的心率、血压，分别取平均值；统计两组手术成功率、术中晕针及不顺利暂停手术的例数，将上述统计的数进行统计分析。结果：焦虑及抑郁情况干预组明显低于对照组，p<0.01；两组病人手术前三十分钟心率、血压的平均值比较显示干预组病人的心率及血压低于对照组，p<0.01和p<0.05；手术成功率干预组高于对照组，p<0.01。结论： 胶原酶溶盘术患者在围手术期会产生程度不同的不良情绪反应，对溶盘术患者在围手术期实施心理干预，可有效地减轻病人的心理压力，增强其对手术的耐受力，提高手术的成功率，促进病人康复。
关键词 心理干预 腰椎间盘突出症 胶原酶溶盘术
Abstract Objective: To explore the application of mental intervention in collagenase dissolving disc method. Method：120 lubar intervertebral disc protrusion patients were divided in to interventional group and control group, mental status of two group was evaluated by self-rating anxiety scale (SAS) and self-rating depressive scale (SDS) pre-and postoperation; their heart rate and blood pressure was measured and recorded 30 min before operation, taking mean value respectively; the cases of first time operation achievement ratio, acupuncture syncope in the operation and unsuccessful suspended operation was analyzed by statistics. Results：Anxiety and depressive in interventional group was lower than the control remarkablely (P<0.01); comparing heart rate and blood pressure 30 min before operation of the two groups, it’s indicated that the treatment group was lower than the control (P<0.01 and P<0.05 respectively); operation achievement ratio of treatment group was higher (P<0.01). Conclusion：Using mental intervention on patients to be given dissolving disc method in ambi-operation time can efficiently relieve their mental stress, strengthen their tolerance to operation and raise the achievement ratio of operation.
Key word mental intervention lubar intervertebral disc protrusion collagenase dissolving disc method
心理干预是指在心理理论的指导下，对个体或群体的心理健康问题和行为施加策略性的影响，使之发生指向性预期目标的变化。现代应激学之父汉斯·塞利的应激原理认[1] [2] [3] [4] 下一页
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