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目的研究术前焦虑对无痛人工流产手术患者麻醉和循环的影响。方法无痛人工流产手术患者120例,术前30min按汉密顿焦虑量表评分分为焦虑(A)组(>14分)和非焦虑(B)组(<6分)。用序贯法进行试验,记录两组麻醉手术期间的收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO2)、麻醉的入睡时间、手术时间、意识恢复时间、定向力恢复时间、异丙酚总用量。结果与B组比较,A组麻醉诱导时间、手术时间、术毕意识和定向力恢复时间均延长,丙泊酚用量增多,而入室前的血压较高、心率较快。结论术前焦虑可兴奋循环功能,延长麻醉诱导、术毕意识恢复和定向力恢复时间,增加麻醉药需要量。
Objective To study the effect of preoperative anxiety on anesthesia and circulation in painless abortion. Methods A total of 120 patients undergoing painless abortion were divided into anxiety (A) group (> 14) and non-anxiety group (B) (<6) according to the Hamilton Anxiety Scale score 30 minutes before operation. The SBP, DBP, HR, SpO2, anesthesia fall-off time, operation time, consciousness recovery time , Recovery time of directional force, total propofol dosage. Results Compared with group B, the time of induction of anesthesia, the time of operation, the consciousness of operation and the recovery time of directional force in group A were prolonged, the dosage of propofol increased, but the blood pressure before entering the room was higher and the heart rate was faster. Conclusion Preoperative anxiety can excite the circulatory function, prolong the induction of anesthesia, consciousness recovery and recovery time of orientational force, and increase the need of anesthetic.