术前心理干预对军事飞行员拔除阻生齿生理指标的影响  

Influence of preoperative psychology intervention on physical signs of impacted tooth removal among military pilots

作　　者：孙旭东[1] 佟宇[1] 佟洋[2] 

机构地区：[1]空军杭州航空医学鉴定训练中心口腔科,310013 [2]空军杭州航空医学鉴定训练中心心理科,310013

出　　处：《中国疗养医学》2012年第10期913-915,共3页Chinese Journal of Convalescent Medicine

摘　　要：目的探索我军军事飞行员克服拔牙恐惧心理的有效方法。方法通过对比研究实施术前心理干预与无术前心理干预对军事飞行员在心电监测下拔除阻生齿,观察术前10min、麻醉后、术中、术后10min患者心率、血压等客观生理指标的变化。结果同对照组相比,术前进行心理干预的实验组患者麻醉后、术中心率及收缩压变化较为平稳(P<0.05)。麻醉后、术中舒张压的变化无明显差异,术后10min实验组舒张压下降速度大于对照组(P<0.05)。结论在我军军事飞行员拔除阻生齿前对其进行适当的心理干预,能起到平稳心率、平缓收缩压波动的作用。Objective To investigate the effective methods tbr our military pilots to overcome the mental fear state of pulling out im pacted teeth.Methods Pilots to remove impacted teeth were divided into 2 groups randomly, one group with psychology intervention be fore operation as experiment group, and the other group without psychology intervention before operation as control group.Changes of phys ical signs such as heart rate and blood pressure were measured 10 minutes before operation, after anesthesia, during operation and 10 min utes after operation.Results The change of heart rate and systolic blood pressure（SBP）of the psychology intervention group were more stable than that of the control group（P 〈 0.05）.After anesthesia and during operation,there was no obvious difference of diastolic blood pressure （DBP） between the 2 groups.After operation, the diastolic blood pressure of the experimental group decreased faster than that of the control group（P 〈 0.05）.Conclusion Psychology intervention before removing impacted teeth of the military pilots can prevent the big fluctuation of heart rate and relieve systolic blood pressure.

关 键 词：阻生齿 心率 血压 心理干预 

分 类 号：R82[医药卫生—临床医学]