心理干预对人工肝支持治疗患者的效果观察  

Curative effects of mental intervention on patients receiving artificial liver support treatment

作　　者：曹燕 季代金[2] 

机构地区：[1]四川省成都市传染医院一病区,成都610061 [2]解放军452医院内三科

出　　处：《西南国防医药》2012年第11期1186-1189,共4页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨加强心理干预对慢性重型肝炎患者行人工肝血浆置换(PE)治疗过程中血压、呼吸、脉搏及一次穿刺成功率的影响。方法共选择符合条件的406例慢性重型肝炎患者进行研究,按治疗时间段分为对照组199例和实验组207例。在行首次PE治疗穿刺术前,对照组给予常规指导,实验组除给予常规指导外,还加强了心理干预。分别比较两组患者术前与术中的血压、脉搏、呼吸及一次穿刺成功率。结果 PE术前,两组患者血压、脉搏、呼吸比较无统计学差异(P>0.05)。PE术中,对照组收缩压和脉搏显著高于实验组(P<0.05或P<0.01),而呼吸和舒张压则没有显著差异(P>0.05);实验组PE首次穿刺成功率明显高于对照组(P<0.05)。结论慢性重型肝炎患者在行PE时,加强心理干预能有效地减轻影响操作的不良因素,提高首次穿刺成功率,值得提倡。Objective To discuss the influence of mental intervention on blood pressure, respiration, pulse, and the success rate of one - time puncture during the artificial liver plasma exchange （ PE ） in patients with chronic severe hepatitis. Methods 406 patients with chronic severe hepatitis were selected as subjects and divided into control group （199 cases） and experiment group （207 ones） according to the time period of treatment. Before the first time PE centesis, the control group received the conventional guidance, and the experiment group received the conventional guidance and also the enhanced mental intervention. Comparison was made in blood pressure, pulse, respiration, and the success rate of one - time puncture between the two groups before and during the operation. Results Before the PE, there was no significant difference in the blood pressure, pulse, and respiration between the two groups （ P 〉 0. 05 ）. During the PE, the systolic pressure and pulse of the control group were significantly higher than those of the experiment group （P 〈 0. 05 or P 〈 0. 01 ）. There was no significant difference in respiration and diastolic pressure between the two groups （ P 〉 0. 05 ）. The success rate of one - time puncture in the experiment group was significantly higher than that in the control group （ P 〈 0. 05 ）. Conclusion During the EP in patients with chronic severe hepatitis, enhancing the mental intervention can effectively reduce the influence of bad factors on the operation and increase the success rate of one - time puncture. It is worthwhile to be promoted.

关 键 词：慢性重型肝炎 人工肝 心理干预 

分 类 号：R512.6[医药卫生—内科学]