Clinical Study On The Curative Effect About Perioperative Period Of Panhysterectomy Patient With Emotions Treatment Of The Traditional Chinese Medicine

Background:In the work of the gynecology and obstetrics, operation is the most important treatment, particularly for the patient with sector of oncology gynecology. Panhysterecomy is the main treatment of many gynecology disease.To the patient, panhysterecomy as a stressor lead them up to intense physiological and psychic reaction,including anxiety,intense,fear,disappointment and exciting, thus causing organism sympathetic stimulation to elevation of blood pressure, bringing about the field of surgery extensive capillary hemorrhage,hemorrhage,increasing amount of bleeding or producing tremor,to have a cold sweat,vein convulsion and subjective sensation abnormality etc. Clinical Syndromes. It is interfering with the curative activity like operation and anaesthesia and other things going on wheels. And it is increasing postoperative complications. So eliminating harmful psychology preoperative like scruple,intense and fear etc., keeping emotional homeostasis is the key of operation smoothly, and is also important elements of successful surgery.Uterus as a female reproductive organ is in a privileged position of the people. As it means female even as a wider sense of the characeristics of female. Many women do not understand the female reproductive system of an autopsy structure, lack sexual knowledge, and wrong to think that uterus is the vital organs that producing sexy and keeping femininity. After hysterectomy, they thought of physical defects,lack of appeal,no value and not have sexual function, causing heavy mental stress. It makes gynecological surgery patients easy to sad and worried. So the curative effect about perioperative period of panhysterectomy patient with emotions treatment of the traditional Chinese medicine will be hot spot in the future clinical research.Objective:With a randomly antithetical observation on the clinical effectiveness about emotions treatment of the traditional Chinese medicine intervene the evil humor of the panhysterectomy patient.Methods:According to the diagnostic criteria, from Mar 2010 to Jan 2011,50 panhysterectomy patients at 40-55 years old were observed, those from gynecologic in-patient department of Guangdong Provincial TCM Hospital in Ersha Island, who had been diagnosis clear to selected hysterectomize surgery of non-malignant tumour. A prospective, random and antithetical experimental study was conducted,50 patients were randomly divided into two groups:24 patients in the control group were treated by routine preoperative nursing; 26 patients in the experimental group were treated with emotions treatment of the traditional Chinese medicine compounding the treatment of the control group. Keeping observation on the patients to found the differences among two groups in emotion changes and postoperative recovery, such as Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale (HAMD),galvanic skin response (GSR),out-of-bed activity,fart after the operation,fatigue,pain (VAS),Pittsburgh Sleep Quality Index (PSQI)Results:1.The BP and P of that the second day of be hospitalized, the night before the operation and the morning of the operation has no marked difference between two groups (P>0.05).2. Both groups have noticeable differences in the score of the HAMD, the HAMA and the GSR that of the night before the operation and the in-patient day(P<0.05). In the score of the HAMD, the HAMA and the GSR that of the night before the operation, there's conspicuous difference between two groups (P<0.05) in statistical analysis. And there're marked differences (P<0.05) in the score of the HAMA and the GSR of the night before the operation and the Day 6 after operation in both groups. The experimental group has a noticeable difference (P<0.05) in the score of the HAMD that of the night before the operation and the Day 6 after operation, but the control group has not(P>0.05). In the score of the HAMD, the HAMA and the GSR that of the Day 6 after operation, there's conspicuous difference (P<0.05) in statistical analysis between the experimental group and the control group.3. Both groups have noticeable differences in the degree of pain of the week after operation (P>0.05), except the Day 4(P<0.05).4. The score of the PSQI that the week after operation has marked difference between two groups(P<0.05), except the Day land Day 2(P>0.05).5. Observation on the fatigue of the Day 1 after operation, there's no conspicuous difference between two groups (P>0.05) in statistical analysis. Prominent differences have been found in the fatigue of the Day 3 and Day 6 after operation (P<0.05).6. The time of out-of-bed activity has conspicuous difference between two groups (P<0.05) in statistical analysis.7. No prominent difference has been found in fart after the operation between two groups (P>0.05).Conclusion:Emotions treatment of the traditional Chinese medicine intervene the evil humor of the panhysterectomy patient is active. The postoperative recovery of experimental group is better than the one of control group. Developing emotions treatment of the traditional Chinese medicine can raising the compliance of the panhysterectomy patient, keeping operation smoothly, promoting recover earlier, reducing postoperative complications, shortening length of stay, lightening the financial burden of the patient, saving hospitalization costs and human resources, pledging nursing quality of service, playing an important role. This research provides scientific evidence for the emotions treatment of the traditional Chinese medicine in the perioperative period of the gynecology.