摘要
目的 观察心理支持疗法 (PST)对ICU患者机械通气应激反应的影响。方法 将 34例连续机械通气时间在 2 0h的清醒患者 ,随机分为采用标准的PST方法进行治疗的观察组和对照组 ,观察焦虑抑郁程度和应激反应改变情况。结果 对照组患者的焦虑抑郁程度明显高于观察组 ,部分应激反应激素水平升高幅度也明显大于观察组。结论 PST可通过缓解机械通气患者的焦虑抑郁等不良情绪状态减轻机械通气带来的各种心身应激反应 ,有利于提高机械通气治疗的有效性和安全性。
Objective To evaluate the effect of psychological supportive therapy (PST)on stress response in the patients under mechanical ventilation.Methods Thirty-four patients under mechanical ventilation were divided into PST group and control group.The patients in PST group were dealt with PST by a specialist,and the patients in the control treated with only mechanical ventilation.The stress response hormones and anxiety and depress level in both groups were measured.Results The grade of stress and depress scale of control group was significantly higher than those of group PST.The level of stress response hormones was significantly higher in control group than that in group PST.Conclusion PST may reduce the level of the anxiety and stress response in the patients under mechanical ventilation and improve the effects and safety of mechanical ventilation treatments.
出处
《临床麻醉学杂志》
CAS
CSCD
2004年第11期662-664,共3页
Journal of Clinical Anesthesiology
