Laparoscopic Liver Sterility Line Perioperative Psychological Stress And The Intervention Of Chinese Medicine

[Objective] To estimate infertility patient's psychological stress condition in stagnation of QI due to depression of the liver laparoscope expedition perioperative period, research treatment group of Xiaoyao San post-treatment different index between the former and the latter, inquire into the probable effect of therapy method.[Methods] Divid the patients in stagnation of QI due to depression of the liver laparoscope expedition into tcm and blank controller adoptting randomization, hospitalized in gynecology ward from 2009-11 to 2010-12 in Guangzhou University of troditionalchinese medicine Medical The First Affiliated Hospital. Grade their psychological stress degree with anxiety Self-rating scale (SAS) and depressed Self-rating scale (SDS). Treat the treatment group with soothing theliver dispel melancholy Ease Powder decoction(Angelica sinensis 12g, radices paeoniae alba 15g, radix bupleuri 12g, Poria cocos 12g, bighead atractylodes rhizome 9g, baked ginger 6g, Mentha haplocalyx 6g simmer in water getting juice, take orally, potion morning and evening, liquorice 6g, simmer in water getting juice, about 150ml, take orally every morning and evening, one potion each time),the blank controller with no drug. Grade the patients' psychological stress degree at the sixth postoperative day with SAS and SDS and compare with the preoperative degree. The SPSS statistics software, all materials carry on statistical processing,the measurement material use the examination,counts the material to use the x2 examination.[Result] Infertility patient's psychological stress condition in stagnation of QI due to depression of the liver laparoscope expedition perioperative period have incidence rate of anxiety and depress, or other bad psychological stress reaction (41.83±7.199,45.32±11.324). The incidence rate of anxiety neurosis is 66.67%, depression 31.9%, the grade have highly positive correlation (r=0.537, p<0.01), but no opparent related to age, course of disease, primarily or secondary, educational attainments be no opparent related to age, course of disease, primarily or secondary, educational attainments. The the treatment group with soothing theliver dispel melancholy Ease Powder decoction improve bad psychological stress reaction including anxiety and distress obviously (36.96±7.687,39.01±11.499), the difference have statistical significance (t=3.746, t=3.626, p<0.01). After the intervene of the drug, the incidence rate of anxiety descend to 9.2%, depress to 20.0%, and the total effective rate of improving anxiety neurosis is 76.92%, distress72.31%. safe evaluation manifests all the drugs dependable, toxic and side-effect.[Conclusion] Infertility patient's psychological stress condition in stagnation of QI due to depression of the liver laparoscope expedition perioperative period have varyingdegrees anxiety, depressd and other bad psychological stress reaction.The degree of anxiety and depress despondent assume positive correlation.The patient's anxiety, depressd and other bad psychological stress reaction have no opparent related to age, course of disease, primarily or secondary, educational attainments.The drugs of soothing theliver dispel melancholy active relief the patient's bad psychological stress reaction, and are safe dependable, toxic and side-effect.