[摘要] 目的 研究心理干预在缓解围术期焦虑方面的作用。方法 选取ASAⅠ~Ⅲ级的外科住院患者120例。排除精神疾病及昏迷患者，不限手术种类。随机分为干预组(A组)、对照组(B组)。两组患者于术前一天均由麻醉科医师访视，并以SAS焦虑量表进行心理评分，记录血压、脉搏、心率(基础)及学历。A组患者除常规身体准备外，还由麻醉医师向其介绍麻醉和手术方面的详细信息，解答患者提出的疑问。入手术室两组患者以SAS焦虑量表进行心理评分。记录血压、脉搏、心率。术后第一天随访，同时以SAS焦虑量表进行心理评分。记录血压、脉搏、心率变化。结果 A组干预前后焦虑评分比较；A组术后焦虑评分与术前比；干预后A、B两组比较；术后A、B两组比较，差异均有显著性。结论 通过麻醉医师术前心理干预可以降低外科围术期患者焦虑程度，同时表现在血压、心率更趋正常。40~60岁年龄段焦虑评分高于20~40岁年龄段与>60岁年龄段。但患者血压、心率与同年龄段的焦虑程度无关。

    [关键词] 焦虑；围术期；心理干预

    Effect of psychotherapy on anxiety reaction of patients during perioperative period

    YU Ting,CHEN Wu-rong,YAN Li.Central Hospital,Putao District,Shanghai 200062,China

    [Abstract] Objective To investigate the effect of psychotherapy on anxiety reaction of patients during perioperative period.Methods One hundred and twenty ASAⅠ~Ⅲ surgical inpatients.These inpatients had not got psychological diseases or coma.The kind of surgical operations was not limited.The inpatients were divided into two groups at random: Group A and Group B.The patients of two groups were visited by anesthetist on the day before the operation.The scores of SAS ......