精神病患者临床手术中与正常人群手术麻醉分析与处理

Psychiatric patients in clinical surgery and anesthesia normal population analysis and processing.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

四川省自贡市精神卫生中心 ;

摘要
目的 探讨精神病患者临床手术中与正常人群手术麻醉的处置。方法 对本院80例外科手术资料,进行回顾性研究。40例为精神病患者进行手术的为实验组,40例普通人为对照组,实验组与对照组的患者在年龄、性别、病程、手术治疗方法、手术切口类型等方面,比较差异均无统计学意义(P > 0.05)。对两组患者进行对比分析。结果 实验组与对照组在进行麻醉时实验组多采用全麻,二者进行椎管内麻时药物的剂量和种类无统计学差异,但在进行全麻时手术前药物的使用剂量有统计学差异;二者术后并发症不存在统计学差异;麻醉的效果不存在统计学差异。结论 精神病患者的麻醉风险高,医务工作者在选择麻醉方式、药品剂量、术后护理等方面特别关注,要进行特别处理,才能有效防止麻醉事故与术后并发症的发生。
Abstract
Objective Discussion psychiatric patients in clinical surgery and anesthesia normal populationanalysis and processing. Methods Our hospital 80 cases [thenumberof casesat least 80cases. ]Surgerydatawere [thenumberof casesat least 80cases. ]Surgerydatawere the number of cases at least 80 cases. ]Surgerydatawere ]Surgerydatawere Surgery data wereretrospectively studied. They were divided into experimental and control groups. Two groups of patients were ana-lyzed.Results Differences between the experimental and control groups were statistically significant(P <0.05)inthe )inthe in theuse of drugs before surgery,choiceof anesthesiamethods,dosageproblemsamongpatientsandsurgical treatment. ,choiceof anesthesiamethods,dosageproblemsamongpatientsandsurgical treatment. choice of anesthesia methods,dosageproblemsamongpatientsandsurgical treatment. ,dosageproblemsamongpatientsandsurgical treatment. dosage problems among patients and surgical treatment.Conclution As special populations,highanestheticriskpsychiatricpatients,medical workersmust payspecial at- ,highanestheticriskpsychiatricpatients,medical workersmust payspecial at- high anesthetic risk psychiatric patients,medical workersmust payspecial at- ,medical workersmust payspecial at- medical workers must pay special at-tention to several key areas,theneedforspecial treatment,inordertoeffectivelyprevent theoccurrenceof accidents ,theneedforspecial treatment,inordertoeffectivelyprevent theoccurrenceof accidents the need for special treatment,inordertoeffectivelyprevent theoccurrenceof accidents ,inordertoeffectivelyprevent theoccurrenceof accidents in order to effectively prevent the occurrence of accidentsanesthesia and postoperative complications.
关键词
精神病患者;正常人群;术中麻醉
KeyWord
Psychiatric patients;Normal population;Anesthetic ;
基金项目
页码 315-318
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曾昭平*,姚哮波,丁平军,丁 波,谢晓燕. 精神病患者临床手术中与正常人群手术麻醉分析与处理 [J]. 国际精神病学杂志. 2016; 43; (2). 315 - 318.

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