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妇科小手术中麻醉诱导、手术及术后并发症的心理和心血管预测因素

Psychological and cardiovascular predictors of anaesthesia induction, operative and post-operative complications in minor gynaecological surgery.

作者信息

Abbott J, Abbott P

机构信息

Department of Psychology, University of Central Lancashire, Preston, UK.

出版信息

Br J Clin Psychol. 1995 Nov;34(4):613-25. doi: 10.1111/j.2044-8260.1995.tb01495.x.

Abstract

This study aimed to clarify the pre-operative-personality-post-operative-recovery association by considering anaesthetic variables. Additionally, the work investigated the relationships between psychological and cardiovascular functioning and anaesthetic induction difficulties and operative problems. Two minor gynaecological procedures were evaluated (dilatation and curettage, laparoscopy) which differ greatly in anaesthetic and operative techniques. Psychological factors predicted cardiovascular responding immediately prior to the induction of anaesthesia, and combinations of cardiovascular and psychological variables were associated with anaesthetic induction, operative and post-operative problems. Health locus of control and worry concerning the various stages of the operation emerged as the most consistent psychological predictors of peri-operative outcome in both procedures.

摘要

本研究旨在通过考虑麻醉变量来阐明术前人格与术后恢复之间的关联。此外,该研究还调查了心理与心血管功能之间的关系以及麻醉诱导困难和手术问题。对两种小型妇科手术(刮宫术和腹腔镜检查)进行了评估,这两种手术在麻醉和手术技术上有很大差异。心理因素可预测麻醉诱导前即刻的心血管反应,心血管和心理变量的组合与麻醉诱导、手术及术后问题相关。健康控制点和对手术各个阶段的担忧成为这两种手术围手术期结果最一致的心理预测因素。

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