【摘要】 目的 观察心理干预对妇科手术患者血浆促肾上腺皮质激素(ACTH)和皮质醇(F)、血管紧张素Ⅱ(AⅡ)的影响。 方法 将50例拟行妇科手术的患者随机分为两组，A组为对照组，常规护理;B组为观察组，围手术期进行综合心理干预治疗。采用放免法测定心理干预前(术前24h)(T 1 )、手术结束后(T 2 )、术后24h(T 3 )、术后48h(T 4 )血浆ACTH、AⅡ、F浓度，监测BP、HR。 结果 A、B两组ACTH、AⅡ、F术后均高于术前(P<0.05)，B组血压稳定并有下降趋势，各时间变化幅度较A组小。 结论 围手术期实行心理干预，能有效地减轻患者的应激反应。

    关键词 心理干预 应激反应 妇科手术

    Effects of psychological intervention on stress responses in gynecological surgical procedures

    Pei Yanli

    Department of Obstetrics and Gynecology，Heze Municipal Hospital，Shandong274030.

    【Abstract】 Objective To study the effects of psychological intervention on stress responses in patients under-went operation.Methods Fifty patients scheduled for were randomly allocated to one of the two groups:A and B.Each group was25cases.In group A patients received regular nursing.In group B patients received psychological in-tervention perioperation.Venous blood samples were obtained before psychological intervention(24h before operation)(T 1 ) ......