Psychological intervention on the joint patient-controlled sedation during surgery Pain.doc

 PAGE \* MERGEFORMAT 13 Psychological intervention on the joint patient-controlled sedation during surgery Pain [Abstract] Objective: Perioperative medicine - psychological analgesia on pain synthesis, stress. Methods: 60 patients with ASA elective maxillofacial surgery were randomly divided into two groups, group routine perioperative preparation; group psychological intervention and patient-controlled sedation (PCS). Monitoring preoperative, intraoperative 10,30,60 min, 24 h after the HR, MAP, SpO2, intraoperative use of Alertness / Sedation (OAA / S) score. in the preoperative, intraoperative 1 h, 24 h after peripheral venous blood obtained by radioimmunoassay of serum SP, -EP and cortisol, after 24 h by visual analogue scales (VAS) assessment of patients pain. Results: The general information of patients, the difference was not significant (Pgt; 0.05). Heart rate, MAP surgery 30,60 min were significantly higher than group (P lt;0.05); SpO2 in the surgery group 60 min lower than in group (P lt;0.05); SP, intraoperative cortisol 1 h, after 24 h group was significantly higher than that in group (P lt;0.01); -EP patients in the 1 h group was significantly lower than that (P lt;0.05); OAA / S score during the operation showed the two groups after the first low-high (P lt;0.05); group was significantly lower than the degree of pain and discomfort in group . Conclusion: Psychological intervention significantly reduce the stress reaction combined PCS; increased pain tolerance to surgical patients, to further improve the analgesic effect, and promote postoperative rehabilitation. [Keywords:] psychological intervention; patient-controlled sedation; analgesia; surgery [Abstract] Objective: Study of perioperative medicine-psychological analgesia method integrated pain, stress effects. Methods: ASA 60 cases of elective maxillofacial surgery were randomly divided into two groups, Group were given general perioperative preparation; group were