摘要
目的用SCL90量表评价骨创伤病人术中咪唑安定镇静催眠加心理暗示治疗对术后一般心理状态的影响。方法100例骨创伤手术病人均用腰麻硬膜外联合阻滞,随机分为两组:A组用咪唑安定进行镇静催眠加心理暗示治疗,B组不用辅助药作对照。术后第6天均采用SCL90量表评价一般心理状态。结果术后A组疼痛明显轻于B组(P<0.05)。A组强迫症状、抑郁、焦虑及饮食睡眠状态明显好于B组(P<0.01)。结论对椎管内麻醉病人术中采用咪唑安定进行镇静催眠加心理暗示治疗可缓解术后疼痛,减轻强迫症状、抑郁及焦虑状态,改善饮食睡眠状态,提高病人术后康复质量。
Objective To evaluate the effect of medical hypnosis with midazolam on recovery profiles via Symptom-Check-List-90 （SCL- 90） in patients undergoing post-trauma orthopaedic operation on lower exetremity under combined spinal and epidural anesthesia. Methods Patients undergoing post trauma orthopaedic operation on the lower exetremities were ramdpoozed into two groups. The patients in group A were not given as the control, and those in group B given medical hypnosis with midazolam 4μg·kg^-1·min^-1 infusion. The SCL-90 was applied to evaluate psychological status of each patient on the postoperative sixth day. Results During the postoperative period, patients with medical hypnosis with midazolam suffered significantly less pain, and the symptoms of obsessive cam pulsive dimension, depression dimension, anxiety dimension, diet and sleep dimension were better than those without groups. Conclusion Intraoperative tranquility with positive medical hypnosis may have beneficial effects on postoperative recovery profile and improve the patienfs psychological status.
出处
《临床麻醉学杂志》
CAS
CSCD
2006年第1期22-24,共3页
Journal of Clinical Anesthesiology
