Evaluation of the clinic effects of perioperative psychological intervention combined appropriate sedation by target-controlled infusion of midazolam during operation via SCL-90 and OAA/S in patients undergoing thumb or finger reconstruction
10.3760/cma.j.issn.1008-1372.2013.11.015
- VernacularTitle:用SCL-90量表、OAA/S评价心理干预、靶控镇静对拇手指再造术的临床效果
- Author:
Deming WANG
;
Yuanxin ZHANG
;
Yanqing CHEN
;
Fengmei AN
;
Yanliang QU
- Publication Type:Journal Article
- Keywords:
Psychiatric status rating scales;
Psychotherapy;
Conscious sedation/methods;
Thumb/surgery
- From:
Journal of Chinese Physician
2013;15(11):1495-1498
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinic effects of perioperative psychological intervention combined appropriate sedation by target-controlled infusion of midazolam during operation via symptom check List 90 (SCL-90) and observers assessment of alertness/sedation scale (OAA/S) in patients undergoing thumb or finger reconstruction.Methods Eighty patients undergoing thumb or finger reconstruction were randomly divided into group A,B,C,and D (n =20 cases per group).All patients were received brachial plexus block and spinal-epidural combined anesthesia.Patients in group A were given perioperative psychological intervention combined appropriate sedation by target-controlled infusion of midazolam during operation; patients in group B were received routine treatment; patients in group C were given perioperative psychological intervention; and patients in group D were sedated with midazolam during operation.The vital signs and the scores of OAA/S were observed during operation.The scores of visual analogue scale (VAS) and SCL-90 were recorded after operation.Results The OAA/S grade in groups A and D were stability than that in groups B and C (P ＜ 0.05) ; the scores of VAS and the results of psychological status assessment by SCL-90 in group A were superior to groups B,C,and D (P ＜ 0.05).Conclusions Perioperative psychological intervention combined appropriate sedation in operation on thumb or finger reconstruction is a excellence anaesthesia processing method.It might have beneficial effects on postoperative recovery profile,and strengthen the tolerance to pain and improve the patient's psychological status during operative period.
