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目的 :了解支气管扩张大咯血病人的心理状况 ,探讨心理因素对止血治疗的影响。方法 :采用SCL -90调查大咯血病人的心理状况 ,并分组治疗 ,比较治疗组与对照组止血效果 ,分析心理因素对临床止血治疗的影响。结果 :在两组 6 2例大咯血病人中 ,83 87%有焦虑情绪 ,6 6 13%呈恐惧反应。心理因素引起血压升高者占 32 2 6 % ,影响垂体后叶素使用者占 2 0 97%。咯血持续时间 :治疗组平均 5天 ,对照组 7天。结论 :支扩大咯血病人多有短期性心理反应 ,主要表现为焦虑及恐怖性倾向。心理因素可使血压升高 ,在血管破裂的基础上加重咯血 ,并使垂体后叶素使用受限 ,多方面均影响止血效果。故对大咯血病人在止血治疗的同时 ,应加强心理治疗 ,不仅有益于心身健康 ,且可缩短咯血时间
Objective: To understand the psychological status of patients with bronchiectasis and hemoptysis and explore the influence of psychological factors on the treatment of hemostasis. Methods: SCL-90 was used to investigate the psychological status of patients with hemoptysis, and group therapy was used to compare the effects of hemostasis in treatment group and control group. The influence of psychological factors on the treatment of clinical hemostasis was analyzed. Results: Of the 62 patients with massive hemoptysis, 83.87% had anxiety and 6 6-13% had fear reactions. Psychological factors caused by elevated blood pressure accounted for 32 2 6%, affecting pituitrin users accounted for 2 0 97%. Duration of hemoptysis: the treatment group an average of 5 days, 7 days in the control group. Conclusions: Most patients with enlarged hemoptysis have short-term psychological reactions, mainly manifested as anxiety and horror tendency. Psychological factors can increase blood pressure, blood vessels in the rupture of the basis of increased hemoptysis, and the use of pituitrin is limited, in many ways affect the hemostatic effect. Therefore, patients with hemoptysis in the treatment of hemostasis should be strengthened psychological treatment, not only beneficial to the physical and mental health, and can reduce hemoptysis time