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在经过腹腔镜检查的创伤后应激障碍患者中,三种模式对出现激动的影响:一项随机对照研究

Heba Ahmed Abdelaziz¹, Yomna E Dean^2,3, Ahmed Mohamed Ahmed Elshafie⁴

¹Lecturer of Mental Health, Department of Family Health, Alexandria High Institute of Public Health, Alexandria, Egypt.

|January 28, 2024

概括

手术前的放松技术和胺有效地减少了患有创伤后应激障碍 (PTSD) 的患者的出现动荡. 这些干预措施具有成本效益,并建议在接受手术的PTSD患者中常规使用.

科学领域:

麻醉学麻醉学
精神病学是一个精神病学.
手术护理手术护理

背景情况:

出现动荡 (EA) 是全身麻醉后的常见并发症,特别是在患有创伤后应激障碍 (PTSD) 的患者中.
由于全球性事件导致PTSD的患病率越来越高,因此需要具有成本效益的麻醉策略来缓解EA.
妇科腹腔镜手术为研究PTSD患者的EA干预提供了一个相关的背景.

研究的目的:

为了比较手术前放松技术,手术内胺和两者的组合在减轻经过妇科腹腔镜手术的PTSD患者出现动荡的疗效.
评估这些干预措施对血液动力学参数和患者报告的疼痛评分的影响.

主要方法:

一项随机对照试验涉及144名被诊断患有PTSD的成年女性 (18-45岁),她们接受了妇科腹腔镜检查.
参与者被分为四组:手术前放松技术 (深呼吸和渐进肌肉放松[PMR]),手术内胺,联合干预和对照组.
排除标准包括主要的并发症和目前的精神病药物使用. 数据分析涉及SPSS,科尔摩戈罗夫-斯米尔诺夫测试和赔率比率计算 (p≤0.05显著性).

主要成果:

与对照组相比,所有干预组 (放松,胺,组合) 的心率 (HR) 和平均动脉血压 (MABP) 显著降低 (p<0.001).
干预组报告了明显较低的视觉模拟尺度 (VAS) 疼痛评分.
放松组的患者不兴奋的可能性是85倍,而胺组的患者与对照组相比不兴奋的可能性是175倍 (p<0.001).

结论:

术前放松技巧 (呼吸练习和PMR) 有效地降低了PTSD患者的HR,MABP,VAS得分和EA,与胺酸或组合干预相比.
在手术准备方案中,应考虑对PTSD进行例行术前查和实施放松技术.
术前放松技术是治疗PTSD患者EA的潜在成本有效策略.

关键词:

麻醉麻醉是一种麻醉.呼吸是一种呼吸.新兴动荡的兴起动荡.胺基氨酸 (ketamine) 是一种可以创伤后应激障碍 (PTSD) 是一种

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